Active NPI
Matthew Stewart, CRNA
- Certified Registered Nurse Anesthetist
- Springfield, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 187385
- Practice address
- 100 Northcrest Dr
Springfield, TN 37172-3927 - Phone
- (615) 384-1529
- Fax
- (615) 384-1765
- NPI assigned
- Nov 2, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 187385 | TN | Primary |
Addresses
Primary practice location
100 Northcrest Dr
Springfield, TN 37172-3927
Mailing address
3340 Players Club Pkwy
Suite 350
Memphis, TN 38125-8933
Phone (901) 844-1590
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
435 2ND St
Newport, TN 37821-3703
Phone (423) 625-2200
Hospital & facility affiliations
- Tristar Northcrest Medical Center
- Cookeville Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 187385 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifelinc Anesthesia VIII PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Lifelinc Anesthesia II, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
3340 Players Club Pkwy
Ste 350
Memphis, TN 38125
Phone (901) 207-2017
435 2nd St
Newport, TN 37821
Phone (423) 625-2200
100 Northcrest Dr
Springfield, TN 37172
Phone (615) 384-1531
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.
-
- Anesthesiology Physician
- Newport, TN
- NPI 1679265052
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Springfield, TN
- NPI 1821397233
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cookeville, TN
- NPI 1275531956
-
- General Acute Care Hospital
- Springfield, TN
- NPI 1093397184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478044800000",
"number": "1104378538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3340 PLAYERS CLUB PKWY",
"address_2": "SUITE 350",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381258933",
"telephone_number": "901-844-1590",
"fax_number": "901-855-1592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 NORTHCREST DR",
"city": "SPRINGFIELD",
"state": "TN",
"postal_code": "371723927",
"telephone_number": "615-384-1529",
"fax_number": "615-384-1765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "MATTHEW",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-11-02",
"last_updated": "2016-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "187385",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; 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.