Michael Shane King, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

R850443 Issued in MS

Practice address

2510 Lakeland Dr
Flowood, MS 39232-9513

Phone

(601) 355-1234

Fax

(601) 326-3559

NPI assigned

Dec 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sweet Dreams Anesthesia PLLCGroup PAC ID 1254757685, 19 clinicians

Anesthesia Consultants PAGroup PAC ID 4486637881, 102 clinicians

Gi Alliance Anesthesia of Mississippi PLLCGroup PAC ID 3173963949, 28 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

76.9 of 100Reported as group

Quality

47.44

Promoting interoperability

98

Improvement activities

40

Cost

77.24

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Anesthesia Consultants PA

  • Anesthesiology Physician
  • Jackson, MS
  • NPI 1750300836

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Gi Alliance Anesthesia of Mississippi PLLC

  • Certified Registered Nurse Anesthetist
  • Flowood, MS
  • NPI 1780303446

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Sweet Dreams Anesthesia, PLLC

  • Certified Registered Nurse Anesthetist
  • Meridian, MS
  • NPI 1427667724

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Gastrointestinal Associates, P.a.

  • Gastroenterology Physician
  • Flowood, MS
  • NPI 1093765604
  Medicare reassignment NPD
• Jackson Anesthesia Associates PA

  • Anesthesiology Physician
  • Jackson, MS
  • NPI 1780737577
  Medicare reassignment NPD
• Magee Benevolent Association

  • Family Nurse Practitioner
  • Raleigh, MS
  • NPI 1225157258
  Medicare reassignment NPD
• Medical Foundation of Central Mississippi, Inc.

  • Internal Medicine Physician
  • Jackson, MS
  • NPI 1992774814
  Medicare reassignment NPD
• Gastrointestinal Associates, P.a.

  • Gastroenterology Physician
  • Madison, MS
  • NPI 1902098288
  NPD
• Gastrointestinal Associates, PA

  • Anesthesiology Physician
  • Flowood, MS
  • NPI 1326587304

  Nurse Anesthetist, Certified Registered

  NPD
• Magee Benevoent Association

  • General Acute Care Hospital
  • Magee, MS
  • NPI 1295856755
  NPD
• Magee Benevolent Association

  • General Acute Care Hospital
  • Magee, MS
  • NPI 1679553994
  NPD
• Medical Foundation of Central Ms

  • Family Medicine Physician
  • Brandon, MS
  • NPI 1114264264
  NPD

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509580800000",
    "number": "1992861298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 LAKELAND DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329513",
            "telephone_number": "601-355-1234",
            "fax_number": "601-326-3559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 LAKELAND DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329513",
            "telephone_number": "601-355-1234",
            "fax_number": "601-326-3559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "MICHAEL",
        "middle_name": "SHANE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2017-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MS",
            "license": "R850443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06082519",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01073766",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bomee Kim, OD
• Edra S Kimmel, MD
• Kincaid Dental Center
• Amy Prestage King, MOTR/L
• Madeline King, PT, DPT
• Caroline Kitchens, PHARMD
• Max Keith Klaus, D.M.D.
• Sara Marie Klaus, NP
• Lance P Klein, NP
• Mark N. Klein, MD

• Certified Registered Nurse Anesthetist in Flowood, MS
• Providers in Flowood, MS by specialty
• Certified Registered Nurse Anesthetist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2017; 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.