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

Michael Ryan Miller, CRNA

Individual provider Registered Nurse · NPI 1730470493

Michael Ryan Miller, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Bloomington, Illinois. Qualified in 2011, 15 years ago. Practices with Wynn Anesthesia Group, LLC, a 10-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
15
Licensed in
IL, MO
In the registry since
2011
Specialties on file
4
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

14826 Claymore
Bloomington, IL 61705-1000
Phone: (309) 294-5649
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8201 E Riverside Blvd, Rockford, IL 61114-2300 — (815) 971-7000

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 209009116 (IL)
Registered Nurse Taxonomy 163W00000X · Licence 041397136 (IL)
Registered Nurse Taxonomy 163W00000X · Licence 2009007215 (MO)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 2011012309 (MO)

Record details

NPI number1730470493
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedApril 28, 2011
Last updated in NPPESFebruary 1, 2024
Certification dateFebruary 1, 2024
Mailing address14826 Claymore, Bloomington, IL 61705-1000

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Wynn Anesthesia Group, Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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