Active NPI
Adam C Eckhardt, CRNA
- Certified Registered Nurse Anesthetist
- Lebanon, NH
National Provider Identifier
1063071397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 073064-21
- Practice address
- One Medical Center Dr
Anesthesiology
Lebanon, NH 03756-0001 - Phone
- (603) 650-5922
- NPI assigned
- Jun 11, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 073064-21 | NH | |
| Certified Registered Nurse Anesthetist | 367500000X | 101-0134951 | VT | |
| Certified Registered Nurse Anesthetist | 367500000X | 073064-21 | NH | Primary |
Addresses
Primary practice location
One Medical Center Dr
Anesthesiology
Lebanon, NH 03756-0001
Mailing address
One Medical Center Dr
Lebanon, NH 03756-0001
Phone (603) 650-5922
Other practice location 1
115 Porter Dr
Middlebury, VT 05753-8629
Phone (802) 388-4701
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Porter Hospital Inc
Practice addresses (Care Compare)
115 Porter Dr
Middlebury, VT 05753-8423
Phone (802) 388-4701
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 073064-21 | NH | MD | Critical Care Medicine Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Porter Hospital, Inc | Current | Accepting new patients | |
| Porter Hospital Inc | Current | Accepting new patients |
Locations
61 Court Dr
Brandon, VT 05733
Phone (802) 247-3755
104 Porter Dr
Middlebury, VT 05753
Phone (802) 388-5682
115 Porter Dr
Middlebury, VT 05753
Phone (802) 388-4701
82 Catamount Park
Middlebury, VT 05753
Phone (802) 388-7185
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Critical Access Hospital
- Middlebury, VT
- NPI 1740291400
-
- Family Medicine Physician
- Middlebury, VT
- NPI 1134457013
Hospital & facility affiliations 17
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Family Medicine Physician
- Middlebury, VT
- NPI 1558381889
Hospital
-
- Family Medicine Physician
- Middlebury, VT
- NPI 1144240474
Hospital
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Middlebury, VT
- NPI 1033340641
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650931200000",
"number": "1063071397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ONE MEDICAL CENTER DR",
"city": "LEBANON",
"state": "NH",
"postal_code": "037560001",
"telephone_number": "603-650-5922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE MEDICAL CENTER DR",
"address_2": "ANESTHESIOLOGY",
"city": "LEBANON",
"state": "NH",
"postal_code": "037560001",
"telephone_number": "603-650-5922"
}
],
"practiceLocations": [
{
"address_1": "115 Porter Dr",
"address_purpose": "LOCATION",
"city": "Middlebury",
"state": "VT",
"postal_code": "057538629",
"country_code": "US",
"telephone_number": "802-388-4701",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ECKHARDT",
"first_name": "ADAM",
"middle_name": "C",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-11",
"last_updated": "2022-04-26",
"certification_date": "2022-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "NH",
"license": "073064-21",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VT",
"license": "101-0134951",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NH",
"license": "073064-21",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.