Michael Jay Carr, CRNA
Nurse Anesthetist, Certified Registered in Fargo, ND. Individual provider (NPI-1).
NPI number1104844802
StatusActive
Last updated in NPPESApr 27, 2026
Details
- NPI
- 1104844802
- Entity type
- Individual (NPI-1)
- Name
- Michael Jay Carr
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 18, 2006
- Certification date
- Apr 27, 2026
- Last updated
- Apr 27, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
- Can order and refer
- Part B Yes · DME No · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R27762 | ND | Yes |
| 367500000X | Nurse Anesthetist, Certified Registered | 554 | MN |
Practice location
5225 23rd Ave SFargo, ND 58104-7927
Phone 701-234-2000
Mailing address
Po Box 5074Sioux Falls, SD 57117-5074
Other practice locations
737 Broadway N
Fargo, ND 58122-0001
Fargo, ND 58122-0001
Phone 701-234-4811 · Fax 701-234-6979
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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