Michael Lucian Dumouchel, DNP, CRNA, NSPM-C

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

NUR-APRN-LIC-165777 Issued in MT

Practice address

6 13TH Ave E
Polson, MT 59860-5315

Phone

(406) 883-8924

Fax

(406) 883-8405

NPI assigned

Mar 8, 2011

Last updated

May 7, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Lukes Community HospitalGroup PAC ID 5496659567, shared by 8 NPIs, 59 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Luke Community Hospital Hospital, Ronan, MT, CCN 271325

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mdumouchel1710797@wm.providencedirect.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Montana Gastroenterology, PLLC

  • Clinic/Center
  • Missoula, MT
  • NPI 1821612946
  Medicare reassignment NPD
• Providence St Joseph Medical Center

  dba Prov St Joseph Med Ctr

  • Family Medicine Physician
  • Polson, MT
  • NPI 1669655528
  Medicare reassignment NPD
• Providence St Joseph Medical Center

  dba Prov St Joseph Med Ctr

  • Critical Access Hospital
  • Polson, MT
  • NPI 1821184888
  Medicare reassignment NPD
• St Lukes Community Hospital

  • Critical Access Hospital
  • Ronan, MT
  • NPI 1336213446
  Medicare reassignment NPD
• St Lukes Community Hospital

  dba St. Luke Community Specialty Clinic

  • Certified Registered Nurse Anesthetist
  • Ronan, MT
  • NPI 1518663608

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Credena Health LLC

  dba Credena Health Pharmacy Lakeshore

  • Community/Retail Pharmacy
  • Polson, MT
  • NPI 1164809778
  NPD
• A. Ebbie Soroudi, MD, Ms a Professional Medical Corporation

  • Ophthalmology Physician
  • Beverly Hills, CA
  • NPI 1225047509
  NPD (past)
• Innerpeace Anesthesia

  • Certified Registered Nurse Anesthetist
  • Las Angeles, CA
  • NPI 1912521881

  Nurse Anesthetist, Certified Registered

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Lukes Community Hospital

  • Critical Access Hospital
  • Ronan, MT
  • NPI 1336213446
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1299542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1982902367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "877 BAYVIEW DR",
            "city": "POLSON",
            "state": "MT",
            "postal_code": "598609680",
            "telephone_number": "760-415-3809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 13TH AVE E",
            "city": "POLSON",
            "state": "MT",
            "postal_code": "598605315",
            "telephone_number": "406-883-8924",
            "fax_number": "406-883-8405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUMOUCHEL",
        "first_name": "MICHAEL",
        "middle_name": "LUCIAN",
        "name_prefix": "Dr.",
        "credential": "DNP, CRNA, NSPM-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-08",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MT",
            "license": "NUR-APRN-LIC-165777",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MT",
            "license": "NUR-APRN-LIC-165777",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mdumouchel1710797@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6 13th Ave E",
            "city": "Polson",
            "state": "MT",
            "country_code": "US",
            "postal_code": "598605315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dr. Michael R. Windauer, DMD, PC
• Dr. Vincent River, P.C.
• Ken Druyvestein, RPH
• Lesley E. Dubay, LAC
• Elizabeth Duckworth
• Shamyne Hover Dumouchel, FNP
• Stacey Jo Dunn, PHD
• Jerome Dunst, M.D.
• Hannah Dupea, MD
• Derrek Durocher, DC

• Certified Registered Nurse Anesthetist in Polson, MT
• Providers in Polson, MT by specialty
• Certified Registered Nurse Anesthetist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.