Individual provider Active NPI

David Runge

  • Certified Registered Nurse Anesthetist
  • Johnson City, TN
National Provider Identifier
1144646589
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
18833 Issued in SC
Practice address
1009 Novus Dr Ste 2
Johnson City, TN 37604-8237
Phone
(423) 283-0776
NPI assigned
Mar 10, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

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 18833 SC Primary

Addresses

Primary practice location

1009 Novus Dr Ste 2
Johnson City, TN 37604-8237

Mailing address

1009 Novus Dr Ste 2
Johnson City, TN 37604-8237
Phone (423) 283-0776

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, TN, NC, VA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20140822000865 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 2062630635 Reassigns benefits to 3 organizations
I20150331002575 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 2062630635 Reassigns benefits to 3 organizations
I20210816002459 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 2062630635 Reassigns benefits to 2 organizations
I20240329000128 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2062630635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstream Anesthesia PLLCGroup PAC ID 7416198049, 571 clinicians
CHS Anesthesia Services Group IncGroup PAC ID 5799007324, 742 clinicians

Practice addresses (Care Compare)

123 WG Acker Dr
Pickens, SC 29671-2739
Phone (864) 878-4791

142 S Main St
Danville, VA 24541-2922
Phone (434) 799-3839

68 Hospital Rd
Sylva, NC 28779-2722
Phone (828) 586-7000

8800 N Tryon St
Charlotte, NC 28262-3300
Phone (704) 863-6000

920 Church St N
Concord, NC 28025-2927
Phone (704) 403-3000

Hospital & facility affiliations

  • Carolinas Medical Center-Northeast Hospital, Concord, NC, CCN 340001
  • Harris Regional Hospital Hospital, Sylva, NC, CCN 340016

Merit-based Incentive Payment System (MIPS)

Final score
80.41 of 100Reported as group
Quality
64.93
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6284NCMDSpeech-Language Pathologist
18833SCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Anesthesia PC Nurse Anesthetist, Certified Registered CurrentSince Jul 22, 2022 Accepting new patients
Gastroenterology Associates, PA CurrentSince Nov 19, 2018 Accepting new patients
CHS Anesthesia Services Group Inc CurrentSince Sep 1, 2025 Accepting new patients
Northeast Tennessee Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 8, 2021 Accepting new patients
Musc Community Physicians CurrentSince Jun 9, 2022 Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 9, 2021 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2020 Accepting new patients
Musc Community Physicians CurrentSince Jun 9, 2022 Accepting new patients
Gastroenterology Associates, PA CurrentSince Nov 19, 2018 Accepting new patients
East Tennessee Ambulatory Surgery Center LLC CurrentSince Jul 22, 2022 Accepting new patients
Singing River Health System Past Accepting new patients

Locations

830 Rockford St
Mount Airy, NC 27030
Phone (336) 719-7000

68 Hospital Rd
Sylva, NC 28779
Phone (828) 586-7351

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

805 Pamplico Hwy
Ste A220
Florence, SC 29505
Phone (803) 664-9393

125 Halton Rd
Ste 200
Greenville, SC 29607

3545 Highway 17
Ste 100
Murrells Inlet, SC 29576
Phone (843) 299-1717

2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570

123 Wg Acker Dr
Pickens, SC 29671
Phone (864) 512-2465

1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451

310 N State of Franklin Rd
Ste 202
Johnson City, TN 37604
Phone (423) 434-3700

400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-1310

10461 Wallace Alley St
Kingsport, TN 37663
Phone (423) 279-1400

10415 Wallace Alley St
Kingsport, TN 37663
Phone (423) 390-0451

142 S Main St
Danville, VA 24541
Phone (434) 799-2100

6801 Governor Gc Peery Hwy
Richlands, VA 24641
Phone (276) 523-8600

Organizations & group practices 11

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.

Hospital & facility affiliations 3

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": "1394409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1144646589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 NOVUS DR STE 2",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376048237",
            "telephone_number": "423-283-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 NOVUS DR STE 2",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376048237",
            "telephone_number": "423-283-0776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNGE",
        "first_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-10",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "18833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; 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.