Active NPI
Christopher Mackinnon, CRNA
- Certified Registered Nurse Anesthetist
- Buckhannon, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 72161
- Practice address
- 1 Amalia Dr
Buckhannon, WV 26201-2239 - Phone
- (304) 473-2000
- NPI assigned
- Jan 3, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 491206-1 | NY | |
| Certified Registered Nurse Anesthetist | 367500000X | 275043 | MA | |
| Certified Registered Nurse Anesthetist | 367500000X | 72161 | WV | Primary |
Addresses
Primary practice location
1 Amalia Dr
Buckhannon, WV 26201-2239
Mailing address
1 Amalia Dr
Buckhannon, WV 26201-2239
Phone (304) 473-2000
Other practice location 1
1 Winding Rdg
Clifton Park, NY 12065-2007
Phone (407) 401-9288
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2001
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1 Amalia Dr
Buckhannon, WV 26201-2239
Phone (304) 473-2000
1 Hospital Dr
Petersburg, WV 26847-9549
Phone (304) 257-1026
1200 J D Anderson Dr
Morgantown, WV 26505-3494
Phone (304) 598-1200
3 E Benjamin Dr
New Martinsville, WV 26155-2705
Phone (304) 455-8000
327 Medical Park Dr
Bridgeport, WV 26330-9006
Phone (681) 342-1842
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 275043 | MA | MD | Certified Registered Nurse Anesthetist |
| 491206-1 | NY | MD | Certified Registered Nurse Anesthetist |
| 72161 | WV | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Anesthesia of West Virginia, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| United Hospital Center, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Wolverine Anesthesia Consultants, Inc. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Anesthesia Unlimited Inc | Past | Accepting new patients | |
| Medical Anesthesia and Pain Management Consultants, P.a. | Past | Accepting new patients | |
| Surgery Center of Central Virginia Inc. | Past | Accepting new patients | |
| US Anesthesia Partners of Florida Inc. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Empire Ansths Medcl Conslnts | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Upstate Medical Anesthesiology Group, Inc. | Past | Accepting new patients | |
| Ft. Walton Beach Anesthesia Services LLC | Past | Accepting new patients | |
| Metropolitan Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Anesthesia Care Services, PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
327 Medical Park Dr
Bridgeport, WV 26330
Phone (681) 342-1000
916 W Main St
Bridgeport, WV 26330
Phone (304) 842-1034
1 Amalia Dr
Buckhannon, WV 26201
Phone (304) 473-2000
2673 Davisson Run Rd
Ste 303
Clarksburg, WV 26301
1340 Hal Greer Blvd
Huntington, WV 25701
Phone (304) 399-2960
1200 J D Anderson Dr
Morgantown, WV 26505
Phone (304) 598-1460
Interoperability endpoints
- cmackinnon188078@direct.wvuhsdirect.com
Organizations & group practices 14
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.
-
- Internal Medicine Physician
- Bridgeport, WV
- NPI 1760965586
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Irving, TX
- NPI 1821448150
Nurse Anesthetist, Certified Registered, WV
-
- Critical Access Hospital
- Buckhannon, WV
- NPI 1124005061
-
- Certified Registered Nurse Anesthetist
- Forest, VA
- NPI 1609833474
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Panama City, FL
- NPI 1871519884
-
- Anesthesiology Physician
- Niskayuna, NY
- NPI 1255449955
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Ft. Walton Beach, FL
- NPI 1245443829
-
- Anesthesiology Physician
- Ft Myers, FL
- NPI 1619966694
-
- Anesthesiology Physician
- Melrose, MA
- NPI 1043498686
Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- Forest, VA
- NPI 1215957816
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1851485759
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Morgantown, WV
- NPI 1659489631
-
- General Acute Care Hospital
- Bridgeport, WV
- NPI 1184606600
-
- Rural Acute Care Hospital
- New Martinsville, WV
- NPI 1376175240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607385600000",
"number": "1134286339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 AMALIA DR",
"city": "BUCKHANNON",
"state": "WV",
"postal_code": "262012239",
"telephone_number": "304-473-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 AMALIA DR",
"city": "BUCKHANNON",
"state": "WV",
"postal_code": "262012239",
"telephone_number": "304-473-2000"
}
],
"practiceLocations": [
{
"address_1": "1 Winding Rdg",
"address_purpose": "LOCATION",
"city": "Clifton Park",
"state": "NY",
"postal_code": "120652007",
"country_code": "US",
"telephone_number": "407-401-9288",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MACKINNON",
"first_name": "CHRISTOPHER",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-03",
"last_updated": "2020-12-08",
"certification_date": "2020-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "491206-1",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MA",
"license": "275043",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WV",
"license": "72161",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buckhannon, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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.