Active NPI
Brandon Elvis, CRNA
- Certified Registered Nurse Anesthetist
- Ahoskie, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 116889
- Practice address
- 500 Academy St S
Ahoskie, NC 27910-3248 - Phone
- (252) 209-3000
- NPI assigned
- Jun 9, 2017
- Last updated
- Dec 10, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 116889 | NC | Primary |
Addresses
Primary practice location
500 Academy St S
Ahoskie, NC 27910-3248
Mailing address
3674 New Town CT
Farmville, NC 27828-9415
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | belvis250259@direct.vidanthealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Brody School of Medicine at East Carolina University, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
155 Memorial Dr
Pinehurst, NC 28374-8710
Phone (910) 215-1000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.75 of 100
- Quality
- 77.19
- Promoting interoperability
- 86
- Improvement activities
- 40
- Cost
- 80.74
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 116889 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Firsthealth of the Carolinas, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| East Carolina Health | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Firsthealth of the Carolinas, Inc Dba Firsthealth Weight Management Clinic | Current | Accepting new patients | |
| Firsthealth of the Carolinas, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
500 Academy St S
Ahoskie, NC 27910
Phone (252) 209-3000
155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000
6408 Fayetteville Rd
Raeford, NC 28376
Phone (910) 878-6000
925 S Long Dr
Rockingham, NC 28379
Phone (910) 417-3000
Interoperability endpoints
- belvis250259@direct.vidanthealth.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Montgomery Memorial Hospital Professional Services
- Certified Registered Nurse Anesthetist
- Troy, NC
- NPI 1053482596
Nurse Anesthetist, Certified Registered
-
dba ECU Health Roanoke-Chowan Hospital
- Anesthesiology Physician
- Ahoskie, NC
- NPI 1093793473
Nurse Anesthetist, Certified Registered
-
dba Moore Regional Hospital Professional Services
- Certified Registered Nurse Anesthetist
- Pinehurst, NC
- NPI 1851477970
Nurse Anesthetist, Certified Registered
-
dba FirstHealth Weight Management Clinic
- Obesity Medicine (Preventive Medicine) Physician
- Pinehurst, NC
- NPI 1316626104
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Firsthealth Bariatric Center
- Obesity Medicine (Internal Medicine) Physician
- Pinehurst, NC
- NPI 1740463967
Hospital
-
dba Firsthealth Regional EMS System
- Land Ambulance
- Pinehurst, NC
- NPI 1871610378
Hospital
-
dba FirstHealth Cancer Center
- Oncology Clinic/Center
- Pinehurst, NC
- NPI 1417010422
Hospital
-
dba FH Moore Regional Hospital (Acute)
- General Acute Care Hospital
- Pinehurst, NC
- NPI 1740208081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607558400000",
"number": "1023547353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3674 NEW TOWN CT",
"city": "FARMVILLE",
"state": "NC",
"postal_code": "278289415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 ACADEMY ST S",
"city": "AHOSKIE",
"state": "NC",
"postal_code": "279103248",
"telephone_number": "252-209-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELVIS",
"first_name": "BRANDON",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-06-09",
"last_updated": "2020-12-10",
"certification_date": "2020-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "116889",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "belvis250259@direct.vidanthealth.com",
"affiliation": "N",
"address_1": "2100 Stantonsburg Rd",
"city": "Greenville",
"state": "NC",
"country_code": "US",
"postal_code": "278342818",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Ahoskie, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.