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

Nathan Micklautz, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1326724410

Nathan Micklautz, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Rolla, Missouri. Qualified in 2023, 3 years ago. Practices with Phelps County Regional Medical Center, a 109-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
3
Licensed in
MO
In the registry since
2023
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

1000 W 10th St
Rolla, MO 65401-2905
Phone: (573) 458-8899
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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 2023024701 (MO)

Record details

NPI number1326724410
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorYes
NPI enumeratedJune 23, 2023
Last updated in NPPESJuly 14, 2023
Certification dateJuly 14, 2023

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Phelps County Regional Medical Center — 109 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Rolla