MICHAEL PAUL CLANCY CRNA
NPI 1881408169
Nurse Anesthetist, Certified Registered in Georgetown, KY

Active since February 05, 2025PECOS EnrolledAccepts Medicare Assignment
1140 LEXINGTON RD, GEORGETOWN, KY 40324(502) 868-1100 Get Directions Write a Review

NPPES record last updated: February 5, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Michael Paul Clancy Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL PAUL CLANCY CRNA (NPI 1881408169) is an individual nurse anesthetist, certified registered in Georgetown, Kentucky, licensed in Kentucky (4035089) and active in the NPI registry since February 2025. He is enrolled in Medicare PECOS, is affiliated with Bourbon Community Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1881408169
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMICHAEL PAUL CLANCYCredential: CRNA
Location Address1140 LEXINGTON RDGeorgetown, KY 40324-9330
Mailing Address3701 Mariner DrEvansville, IN 47711-7029 · (706) 993-0780
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 5, 2025
NPPES CertifiedFebruary 5, 2025
✔ NPI 1881408169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in KY · 4035089
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
1140 LEXINGTON RD, Georgetown, KY 40324

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael Paul Clancy Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6507386406
PECOS Enrollment IDI20250221003388
Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Michael Clancy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
1140 LEXINGTON ROAD
Georgetown, KY 40324
  • Reassigned Medicare billing, Kentucky enrollment
  • 115 clinicians in this Medicare group
Critical Access
303 NW 11TH ST
Fairfield, IL 62837
  • Reassigned Medicare billing, Illinois enrollment
  • 41 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bourbon Community Hospital

Acute Care Hospitals · Paris, KY
5/5 CMS rating
OwnershipProprietary
CMS Certification Number180046
Location9 Linville DriveParis, KY 40361 · Bourbon County
Emergency services

Georgetown Community Hospital

Acute Care Hospitals · Georgetown, KY
OwnershipProprietary
CMS Certification Number180101
Location1140 Lexington RoadGeorgetown, KY 40324 · Scott County
Emergency services Birthing friendly

Bluegrass Community Hospital

Critical Access Hospitals · Versailles, KY
OwnershipProprietary
CMS Certification Number181308
Location360 Amsden AvenueVersailles, KY 40383 · Woodford County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40324 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Medical Oncology)
1140 LEXINGTON RD, SUITE 202
GEORGETOWN, KY 40324
Student in an Organized Health Care Education/Training Program
1140 LEXINGTON RD
GEORGETOWN, KY 40324
Anesthesiology
1140 LEXINGTON RD
GEORGETOWN, KY 40324
Nurse Anesthetist, Certified Registered
1140 LEXINGTON RD
GEORGETOWN, KY 40324
Dietitian, Registered
1140 LEXINGTON RD
GEORGETOWN, KY 40324
Nurse Anesthetist, Certified Registered
1140 LEXINGTON RD
GEORGETOWN, KY 40324
Medicare Defined Swing Bed Unit
1140 LEXINGTON RD
GEORGETOWN, KY 40324
Obstetrics & Gynecology
1140 LEXINGTON RD, SUITE 205
GEORGETOWN, KY 40324

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Clancy's NPI number?

The NPI number for Michael Clancy is 1881408169. It was assigned to this individual provider in the NPPES registry on February 5, 2025.

Where is Michael Clancy located?

Michael Clancy practices at 1140 Lexington Rd, Georgetown, KY 40324. The listed phone number is (502) 868-1100.

What is Michael Clancy's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Michael Clancy enrolled in Medicare?

Yes. Michael Clancy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Michael Clancy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Clancy reassigns Medicare benefits to 2 organizations: Kentucky Anesthesia Group, Psc (Georgetown, KY) and Fairfield Memorial Hospital Association (Fairfield, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Clancy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Michael Clancy affiliated with any hospitals?

According to CMS data, Michael Clancy is affiliated with Bourbon Community Hospital, Georgetown Community Hospital and Bluegrass Community Hospital.

When was this NPI record last updated?

The NPPES record for Michael Clancy was last updated on February 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.