Individual provider Active NPI

Marshall Earl Anderson Jr., CRNA

  • Certified Registered Nurse Anesthetist
  • Lexington, KY
National Provider Identifier
1114036357
Registry record updated Aug 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3004822 Issued in KY
Practice address
800 Rose St
Uk Healthcare Department of Anesthesiology
Lexington, KY 40536-7001
Phone
(859) 323-5956
Fax
(859) 323-1080
NPI assigned
Aug 30, 2006
Last updated
Aug 9, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 12677 TN
Certified Registered Nurse Anesthetist 367500000X 3004822 KY Primary

Addresses

Primary practice location

800 Rose St
Uk Healthcare Department of Anesthesiology
Lexington, KY 40536-7001

Mailing address

800 Rose St
Uk Healthcare Department of Anesthesiology
Lexington, KY 40536-7001
Phone (859) 323-5956

Other identifiers 1

IdentifierTypeStateIssuer
74011412MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060125000042 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 6002830494 Reassigns benefits to 3 organizations
I20150609000561 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 6002830494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of KentuckyGroup PAC ID 3072425289, 778 clinicians

Practice addresses (Care Compare)

770 Rose St
Lexington, KY 40536-0297
Phone (859) 323-3368

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.76 of 100Reported as group
Quality
78.19
Promoting interoperability
100
Improvement activities
40
Cost
70.17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3004822KYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Medical Group, PC Nurse Anesthetist, Certified Registered CurrentSince May 4, 2015 Accepting new patients
Anesthesia Medical Group, PC CurrentSince May 4, 2015 Accepting new patients
University of Kentucky CurrentSince Mar 11, 2016 Accepting new patients
Danville Anesthesia Associates, LLP Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2017 Accepting new patients
Environ Anesthesia, LLC. Nurse Anesthetist, Certified Registered CurrentSince Dec 28, 2016 Accepting new patients
Sleepers Anesthesia Services, PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

217 S 3rd St
Danville, KY 40422
Phone (859) 239-1000

236 W Main St
Ste 200
Danville, KY 40422
Phone (859) 238-7746

100 Medical Dr
Hazard, KY 41701
Phone (606) 439-6600

310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612

740 S Limestone
Lexington, KY 40536
Phone (859) 257-3253

770 Rose St
Lexington, KY 40536
Phone (859) 323-3368

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

989 Medical Park Dr
Maysville, KY 41056
Phone (606) 759-3112

50 Sterling Ave
Mt Sterling, KY 40353
Phone (606) 498-1220

1107 W Lexington Ave
Winchester, KY 40391
Phone (859) 745-3500

110 29th Ave N
Ste 202
Nashville, TN 37203
Phone (615) 327-7870

Interoperability endpoints

  • Direct secure messaging: manderson20195@ukhcdirect.org

Organizations & group practices 6

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470700800000",
    "number": "1114036357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ROSE ST",
            "address_2": "UK HEALTHCARE DEPARTMENT OF ANESTHESIOLOGY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405367001",
            "telephone_number": "859-323-5956",
            "fax_number": "859-323-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ROSE ST",
            "address_2": "UK HEALTHCARE DEPARTMENT OF ANESTHESIOLOGY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405367001",
            "telephone_number": "859-323-5956",
            "fax_number": "859-323-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MARSHALL",
        "middle_name": "EARL",
        "name_suffix": "Jr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2016-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "12677",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "3004822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74011412",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.

Verify at the official NPI Registry.