Wilderness Trace Anesthesia, PLLC
NPI 1669742029ActiveOrganization· Nurse Anesthetist, Certified Registered· Danville, KY
Nurse Anesthetist, Certified Registered in Danville, Kentucky, registered in NPPES in January 2012. The authorized official on file is Michael T. Mitchell, Managing Member.
Overview
| NPI | 1669742029 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 3, 2012 |
| Last updated in NPPES | Jan 3, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | 0805370 | KY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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