MICHAEL P ENNIS (CRNA) – Certified Registered Nurse Anesthetist, NPI 1346241288

MICHAEL P ENNIS (CRNA) is a healthcare provider. based in Hingham, Massachusetts. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 213881 (MA). The NPI Number for MICHAEL P ENNIS (CRNA) is 1346241288

Main info

Male
25 Years Of Experience
Name
MICHAEL P ENNIS (CRNA)
NPI
1346241288
Phone
(781) 624-8352
Address
2 Pond Park Rd
Enumeration Date
2 August 2005
Last Update Date
9 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9419177760
Graduation Year
2001 (25 years ago)
PAC ID
4688662109
Group Practice PAC ID
1355240177
Professional Enrollment ID
I20210514000800
Address ID
FL342393509SA1700XTRLX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,311 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MA

Provider Addresses for MICHAEL P ENNIS (CRNA)

  • 2 Pond Park Rd

    Hingham, MA 020434347

    Phone: (781) 624-8352

    Type: Location

  • 1700 S Tamiami Trl

    Sarasota, FL 342393555

    Phone: (508) 363-5000

    Type: Location

  • 690, Canton Street, Westwood, Norfolk County, Massachusetts, 02090, United States

    STE 325

    WESTWOOD, MA 020902324

    Phone: (781) 407-7713

    Fax: (781) 407-0998

    Type: Mailing

  • Saint Vincent Hospital at Worcester Medical Center, 123, Summer Street, Lincoln Square, Belmont Hill, Worcester, Worcester County, Massachusetts, 01608, United States

    WORCESTER, MA 01608

    Phone: (508) 363-5000

    Type: Location

  • 3645 SLAYTON AVE

    NORTH PORT, FL 342864211

    Phone: (401) 486-8969

    Type: Mailing

  • 1700 S TAMIAMI TRL

    SARASOTA, FL 342393555

    Phone: (508) 363-5000

    Type: Location

  • 55 FOGG RD

    WEYMOUTH, MA 021902432

    Phone: (781) 624-8000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $42.

Total Amount is formed as General ($42) + Research ($0) + Ownership ($0) = $42.

Last reported payment date: 2024-03-15 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($25).

Total Amount

$42

General + Research + Ownership

Payments

2

Total payment records

General Amount

$42

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-15

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-05-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040504000587ICertified Registered Nurse Anesthetist (Crna)MATBD
I20120313000658ICertified Registered Nurse Anesthetist (Crna)RITBD
I20210514000800ICertified Registered Nurse Anesthetist (Crna)FLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1919$0
00811Anesthesia for other procedure on large bowel using an endoscope1111$0
View full utilization report →

Insurance plans in this area (ZIP 02043)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1355240177View full group profile
NameSpecialtyState
Critical Care (Intensivists)FL
N E U R O L O G YFL
General SurgeryFL
-FL
-FL
Cardiovascular Disease (Cardiology)FL
Certified Registered Nurse Anesthetist (Crna)FL
-FL
Cardiovascular Disease (Cardiology), Peripheral Vascular DiseaseFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

What is the standard ID for MICHAEL P ENNIS (CRNA) in the U.S.?
In the U.S., MICHAEL P ENNIS (CRNA) is identified by NPI 1346241288.
Is MICHAEL P ENNIS (CRNA) currently accepting referrals based on NPI status?
Registry metadata lists MICHAEL P ENNIS (CRNA) as active.
Which specialty label fits MICHAEL P ENNIS (CRNA)?
NPPES ties MICHAEL P ENNIS (CRNA) to Certified Registered Nurse Anesthetist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to MICHAEL P ENNIS (CRNA)?
The directory associates MICHAEL P ENNIS (CRNA) with Hingham, Massachusetts. Check all listed addresses for suites or satellite offices.
Who maintains MICHAEL P ENNIS (CRNA)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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