Individual provider Active NPI

Christopher Michael McCartney, CRNA

  • Certified Registered Nurse Anesthetist
  • Carthage, NY
National Provider Identifier
1063742484
Registry record updated Jan 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
625196 Issued in NY
Practice address
1001 West St
Carthage, NY 13619-9703
Phone
(315) 952-5650
NPI assigned
Jan 7, 2010
Last updated
Jan 7, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 625196 NY Primary

Addresses

Primary practice location

1001 West St
Carthage, NY 13619-9703

Mailing address

106 Mountainwood Dr
Hendersonville, TN 37075-2923
Phone (423) 202-2490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160803000285 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 3375678790 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbia Anesthesia Services LLCGroup PAC ID 7315411907, 33 clinicians
Pulaski Anesthesia Services LLCGroup PAC ID 7113216938, 5 clinicians

Practice addresses (Care Compare)

1224 Trotwood Ave
Columbia, TN 38401-4802
Phone (931) 381-1111

1265 E College St
Pulaski, TN 38478-4541
Phone (660) 826-5960

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Pulaski Anesthesia Services LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 13, 2016 Accepting new patients
Anesthesia Associates of Columbia TN LLC CurrentSince Jan 3, 2017 Accepting new patients

Locations

1510 Hatcher Ln
Columbia, TN 38401
Phone (931) 381-7818

1510 Hatcher Ln
Ste 18
Columbia, TN 38401

725 S James M Campbell Blvd
Columbia, TN 38401
Phone (931) 381-3700

1265 E College St
Pulaski, TN 38478
Phone (931) 363-7531

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1262822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262822400000",
    "number": "1063742484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 MOUNTAINWOOD DR",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752923",
            "telephone_number": "423-202-2490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 WEST ST",
            "city": "CARTHAGE",
            "state": "NY",
            "postal_code": "136199703",
            "telephone_number": "315-952-5650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTNEY",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-07",
        "last_updated": "2010-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "625196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carthage, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; 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.

Verify at the official NPI Registry.