Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Douglas Michaelson, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1700208105

Douglas Michaelson, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Dekalb, Illinois. Qualified in 2013, 13 years ago. Practices with Anesthesia Associates of Rock Hill PA, a 59-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
13
Licensed in
IL
In the registry since
2014
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

1 Kish Hospital Dr
Dekalb, IL 60115-9602
Phone: (630) 936-4029
Fax: (630) 936-4032
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 209011144 (IL)

Record details

NPI number1700208105
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJanuary 20, 2014
Last updated in NPPESOctober 27, 2020
Certification dateOctober 27, 2020
Mailing address1 Kish Hospital Dr, Dekalb, IL 60115-9602

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Anesthesia Associates Of Rock Hill Pa — 59 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Dekalb