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

Individual provider Certified Registered Nurse Anesthetist · NPI 1659392017

Michael Koval, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Wilkes Barre, Pennsylvania. Qualified in 2004, 22 years ago. Practices with 360 Anesthesia PLLC, a 113-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
22
Licensed in
PA
In the registry since
2006
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

575 N River St
Wilkes Barre, PA 18764-0999
Phone: (570) 829-8111
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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 RN324026L (PA)

Record details

NPI number1659392017
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJuly 21, 2006
Last updated in NPPESApril 3, 2015

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice 360 Anesthesia Pllc — 113 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Wilkes Barre