MR. PETER B MICHON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1003923582
Certified Registered Nurse Anesthetist
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Profile Insights
NPPES metrics only — not quality of care.
1,141 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in WI
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Provider Addresses for MR. PETER B MICHON (CRNA)
1035 KEPLER DR
GREEN BAY, WI 543118320
Phone:
Fax: (920) 288-3370
Type: Mailing
Green Bay, Broadway, Queens, New York, 11373, United States
GREEN BAY, WI 543032728
Phone: (920) 965-4055
Fax: (920) 288-3370
Type: Mailing
2845, Greenbrier Road, Bucktown, Dorchester County, Maryland, 21613, United States
GREEN BAY, WI 543088900
Phone: (920) 288-3388
Fax: (920) 288-3370
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2006-04-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060425000694 | I | Certified Registered Nurse Anesthetist (Crna) | WI | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 37 | 37 | $0 |
| 00142 | Anesthesia for lens surgery | 28 | 27 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 23 | 22 | $0 |
Insurance plans in this area (ZIP 54311)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WI | |
| Family Practice | WI | |
| H E M A T O L O G Y/ O N C O L O G Y | WI | |
| Hospitalist, Internal Medicine | WI | |
| Family Practice | WI | |
| Geriatric Medicine, Internal Medicine | WI | |
| - | WI | |
| Hospitalist, Internal Medicine | MI | |
| Obstetrics/Gynecology, Osteopathic Manipulative Medicine | WI | |
| - | WI |
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