Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michael David Russell Willie, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1245664838

Michael David Russell Willie, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Danville, Pennsylvania. Qualified in 2013, 13 years ago. Practices with Geisinger Clinic, a 3,413-clinician group and accepts Medicare assignment. Licensed in Pennsylvania and Tennessee.

Years since qualifying
13
Licensed in
PA, TN
In the registry since
2013
Specialties on file
2
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

100 N Academy Ave
Danville, PA 17822-4817
Phone: (570) 271-6621
Fax: (570) 271-6762
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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 RN653658 (PA)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 162278 (TN)

Record details

NPI number1245664838
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedAugust 30, 2013
Last updated in NPPESMay 2, 2018

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 Geisinger Clinic — 3413 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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