Active NPI
Maureen S Earl, CRNA
- Certified Registered Nurse Anesthetist
- Gastonia, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 168973
- Practice address
- 2525 Court Dr
Gastonia, NC 28054-2140 - Phone
- (704) 834-4113
- NPI assigned
- Oct 4, 2010
- Sex
- Female
- 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 | 168973 | NC | Primary |
Addresses
Primary practice location
2525 Court Dr
Gastonia, NC 28054-2140
Mailing address
1550 Union Rd Ste B
Gastonia, NC 28054-5522
Phone (704) 834-4113
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8053864 | Medicaid | NC | |
| NAN972 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone (704) 355-2000
1000 Caromont Pkwy
Belmont, NC 28012-0140
Phone (980) 394-2000
2100 Stantonsburg Rd
Greenville, NC 27834-2818
Phone (252) 847-4100
2430 Emerald PL
Suite 103
Greenville, NC 27834-5743
Phone (252) 752-2140
2511 Court Dr
Gastonia, NC 28054-2140
Phone (704) 671-5600
2525 Court Dr
Gastonia, NC 28054-2140
Phone (704) 834-2000
2545 Court Dr
Gastonia, NC 28054-2140
Phone (704) 671-5600
Hospital & facility affiliations
- Caromont Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 168973 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Carolina Anesthesia Associates, PLLC | Anesthesiology | Current | Accepting new patients |
| CHS Anesthesia Services Group Inc | Anesthesiology | Current | Accepting new patients |
| Gaston Anesthesia Associates, P.a. | Past | Accepting new patients |
Locations
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662
2545 Court Dr
Gastonia, NC 28054
Phone (704) 671-5600
2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140
2080 W Arlington Blvd
Ste B
Greenville, NC 27834
Phone (252) 752-2140
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.
-
- Anesthesiology Physician
- Charlotte, NC
- NPI 1346649415
-
- Anesthesiology Physician
- Greenville, NC
- NPI 1205996519
-
- Specialist
- Gastonia, NC
- NPI 1629024062
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gastonia, NC
- NPI 1013918960
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578960000000",
"number": "1144539404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1550 UNION RD STE B",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280545522",
"telephone_number": "704-834-4113",
"fax_number": "704-866-7853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 COURT DR",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280542140",
"telephone_number": "704-834-4113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EARL",
"first_name": "MAUREEN",
"middle_name": "S",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-04",
"last_updated": "2020-01-14",
"certification_date": "2020-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "168973",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8053864",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NAN972",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.