MICHAEL T. LANDIS – Certified Registered Nurse Anesthetist, NPI 1558624908

MICHAEL T. LANDIS is a healthcare provider. based in Stevens point, Wisconsin. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. D162896 (IA). The NPI Number for MICHAEL T. LANDIS is 1558624908

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL T. LANDIS
NPI
1558624908
Phone
(715) 346-5000
Address
900 ILLINOIS AVE
Enumeration Date
20 June 2012
Last Update Date
20 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7154227750
Graduation Year
2012 (14 years ago)
PAC ID
2668621731
Group Practice PAC ID
4587658182
Professional Enrollment ID
I20121004000573
Address ID
WI544944714WI420XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:13State licenses:2Digital endpointsOther names

1,144 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in WI

Provider Addresses for MICHAEL T. LANDIS

  • 900 ILLINOIS AVE

    STEVENS POINT, WI 544813114

    Phone: (715) 346-5000

    Type: Location

  • 112 Jefferson St

    West Union, IA 521751022

    Phone: (563) 422-3811

    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: 2021-12-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20121004000573ICertified Registered Nurse Anesthetist (Crna)WITBD
I20211221001059ICertified Registered Nurse Anesthetist (Crna)IATBD

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
00142Anesthesia for lens surgery3636$0
01402Anesthesia for procedure for total knee joint replacement1817$0
View full utilization report →

Insurance plans in this area (ZIP 54481)

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Provider's Procedures

MICHAEL T. LANDIS performs procedures in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETWI00142Anesthesia for lens surgery2626

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: 4587658182View full group profile

Reviews

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Frequently asked questions

Where can patients find MICHAEL T. LANDIS's NPI?
You can confirm MICHAEL T. LANDIS with NPI 1558624908; it appears in the national provider directory.
Is MICHAEL T. LANDIS's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does MICHAEL T. LANDIS work in?
You can think of MICHAEL T. LANDIS as practicing within Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where is MICHAEL T. LANDIS's primary listing?
We display Stevens Point, Wisconsin because that is what the record indicates for MICHAEL T. LANDIS.
How can I contact MICHAEL T. LANDIS?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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