Individual provider Active NPI

Danette Joan Gissinger, CRNA

  • Certified Registered Nurse Anesthetist
  • Elyria, OH
National Provider Identifier
1134588676
Registry record updated Feb 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
COA.18772-NA Issued in OH
Practice address
860 E Broad St
Suite1
Elyria, OH 44035-6542
Phone
(440) 323-8515
Fax
(440) 323-7900
NPI assigned
Feb 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2016

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 COA.18772-NA OH Primary

Addresses

Primary practice location

860 E Broad St
Suite1
Elyria, OH 44035-6542

Mailing address

860 E Broad St
Ste I
Elyria, OH 44035-6542
Phone (440) 323-8515

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160311002122 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 2163728437 Reassigns benefits to 2 organizations

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
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-6116

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA.18772-NAOHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
The Cleveland Clinic Foundation Nurse Anesthetist, Certified Registered CurrentSince Dec 16, 2020 Accepting new patients
Elyria Anesthesia Incorporated CurrentSince Feb 29, 2016 Accepting new patients

Locations

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

860 E Broad St
Ste I
Elyria, OH 44035
Phone (440) 323-8458

3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

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.

NPI Registry JSON

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

{
    "created_epoch": "1455148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456358400000",
    "number": "1134588676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 E BROAD ST",
            "address_2": "STE I",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440356542",
            "telephone_number": "440-323-8515",
            "fax_number": "440-323-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 E BROAD ST",
            "address_2": "SUITE1",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440356542",
            "telephone_number": "440-323-8515",
            "fax_number": "440-323-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GISSINGER",
        "first_name": "DANETTE",
        "middle_name": "JOAN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-11",
        "last_updated": "2016-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "COA.18772-NA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elyria, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.