Individual provider Active NPI

Dannielle Cathleen Panzeter, CRNA

  • Certified Registered Nurse Anesthetist
  • Mooresville, NC
National Provider Identifier
1124185186
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
292343 Issued in NC
Practice address
114 Commerce Center Loop Ste B
Mooresville, NC 28117-8385
Phone
(704) 662-0877
NPI assigned
Jan 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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 292343 NC Primary
Certified Registered Nurse Anesthetist 367500000X RN260653 OH

Addresses

Primary practice location

114 Commerce Center Loop Ste B
Mooresville, NC 28117-8385

Mailing address

17442 Glassfield Dr
Huntersville, NC 28078-5275
Phone (330) 805-0350

Other practice location 1

2825 Randolph Rd
Charlotte, NC 28211-1018
Phone (828) 327-8105 ext. 305

Other identifiers 2

IdentifierTypeStateIssuer
000000379416OtherOHANTHEM PROVIDER NUMBER
2622120MedicaidOH

Other names 1

  • Danielle Bauer Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171212000118 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 7416972666 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
73778NCMDCertified Registered Nurse Anesthetist
RN260653OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
East Carolina Anesthesia Associates, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jun 15, 2020 Accepting new patients
Lake Norman Anesthesia Associates CurrentSince Aug 1, 2026 Accepting new patients

Locations

2825 Randolph Rd
Charlotte, NC 28211
Phone (704) 377-1647

2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140

114 Commerce Center Loop
Ste B
Mooresville, NC 28117
Phone (704) 662-0877

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1124185186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17442 GLASSFIELD DR",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785275",
            "telephone_number": "330-805-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 COMMERCE CENTER LOOP STE B",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178385",
            "telephone_number": "704-662-0877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2825 Randolph Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282111018",
            "country_code": "US",
            "telephone_number": "828-327-8105 x305",
            "fax_number": "828-327-4245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANZETER",
        "first_name": "DANNIELLE",
        "middle_name": "CATHLEEN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "292343",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "RN260653",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "000000379416",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2622120",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "BAUER",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.