Individual provider Active NPI

Annalisa S McClure-Beaulieu, CRNA

  • Certified Registered Nurse Anesthetist
  • Hyannis, MA
National Provider Identifier
1083956510
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
274202 Issued in MA
Practice address
27 Park St
Hyannis, MA 02601-5230
Phone
(508) 771-1800
NPI assigned
Mar 22, 2013
Last updated
Jan 18, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

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 274202 MA Primary

Addresses

Primary practice location

27 Park St
Hyannis, MA 02601-5230

Mailing address

7 Clark St
Yarmouth Port, MA 02675-1812
Phone (774) 994-8263

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130520000372 MA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3577700145 Reassigns benefits to 5 organizations
I20180627002276 NH Practitioner - Certified Registered Nurse Anesthetist (Crna) 3577700145 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Icon Anesthesia Services of New England LLCGroup PAC ID 2668732041, 21 clinicians
Gbaa Holdings PLLCGroup PAC ID 4789944646, 22 clinicians
On Demand Anesthesia LLCGroup PAC ID 0042675662, 20 clinicians

Practice addresses (Care Compare)

135 Lake St
Middleton, MA 01949-2024
Phone (781) 585-9522

2 Pillsbury St
Suite 100
Concord, NH 03301-3549
Phone (603) 224-2020

45 A Discovery Way
Acton, MA 01720-4482
Phone (617) 936-7683

700 Attucks LN
Unit 1B
Hyannis, MA 02601-1813
Phone (781) 585-9522

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Hospital-Franklin CurrentSince Jan 1, 2019 Accepting new patients
Concord Eye Surgery LLC CurrentSince Aug 1, 2025 Accepting new patients
Concord Orthopaedics Professional Association Nurse Anesthetist, Certified Registered CurrentSince Jan 24, 2024 Accepting new patients
Anesthesia Care Group PC CurrentSince Apr 18, 2022 Accepting new patients
Icon Anesthesia Services of New England LLC CurrentSince Feb 15, 2022 Accepting new patients
On Demand Anesthesia LLC CurrentSince May 1, 2023 Accepting new patients
Cape Cod Anesthesia Associates, Inc. CurrentSince Apr 1, 2013 Accepting new patients
Lrghealthcare CurrentSince Jan 1, 2019 Accepting new patients
Gbaa Holdings, PLLC Nurse Anesthetist, Certified Registered CurrentSince May 20, 2024 Accepting new patients
Dha Endoscopy LLC CurrentSince Apr 15, 2024 Accepting new patients
Sedation Vacation Perioperative Medicine PLLC CurrentSince Aug 2, 2022 Accepting new patients
Concord Orthopaedics Professional Association CurrentSince Jan 24, 2024 Accepting new patients
Dha Endoscopy LLC Past Accepting new patients

Locations

45 Discovery Way
#A
Acton, MA 01720
Phone (617) 936-7683

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

700 Attucks Ln
Unit 1B
Hyannis, MA 02601
Phone (508) 367-3557

91 Montvale Ave
Ste 103
Stoneham, MA 02180
Phone (781) 835-2111

2 Pillsbury St
Ste 100
Concord, NH 03301
Phone (603) 224-2020

246 Pleasant St
Concord, NH 03301
Phone (603) 224-1223

246 Pleasant St
Bldg W
Concord, NH 03301
Phone (603) 224-3388

264 Pleasant St
Concord, NH 03301

57 Regional Dr
Ste 1
Concord, NH 03301

6 Tsienneto Rd
Ste 200
Derry, NH 03038
Phone (603) 426-5222

5 Alumni Dr
Exeter, NH 03833
Phone (603) 580-6339

15 Aiken Ave
Franklin, NH 03235
Phone (603) 934-2060

80 Highland St
Laconia, NH 03246
Phone (603) 527-7100

88 McGregor St
Ste 303
Manchester, NH 03102
Phone (603) 647-9325

32 Stiles Rd
Ste 102
Salem, NH 03079
Phone (603) 328-8437

200 Broadway
Ste 3149
Brooklyn, NY 11211

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1363910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484697600000",
    "number": "1083956510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CLARK ST",
            "city": "YARMOUTH PORT",
            "state": "MA",
            "postal_code": "026751812",
            "telephone_number": "774-994-8263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 PARK ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026015230",
            "telephone_number": "508-771-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLURE-BEAULIEU",
        "first_name": "ANNALISA",
        "middle_name": "S",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-22",
        "last_updated": "2017-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MA",
            "license": "274202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyannis, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; 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.