Active NPI
Michelle Brown, CRNA
- Certified Registered Nurse Anesthetist
- Mooresville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 330435
- Practice address
- 146 Medical Park Rd Ste 108
Mooresville, NC 28117-8529 - Phone
- (704) 662-0877
- NPI assigned
- Dec 3, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN. 306034 | OH | |
| Certified Registered Nurse Anesthetist | 367500000X | 330435 | NC | Primary |
Addresses
Primary practice location
146 Medical Park Rd Ste 108
Mooresville, NC 28117-8529
Mailing address
PO Box 932759
Cleveland, OH 44193-0015
Phone (937) 293-8228
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, 2012
- 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
557 Brookdale Dr
Statesville, NC 28677-4107
Phone (704) 873-5661
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- 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 |
|---|---|---|---|
| RN. 306034 | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CHS Anesthesia Services Group Inc | Current | Accepting new patients | |
| Iredell Memorial Hospital Incorporated | Current | Accepting new patients | |
| Iredell Memorial Hospital, Incorporated | Current | Accepting new patients | |
| Lake Norman Anesthesia Associates | Current | Accepting new patients |
Locations
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
653 Bluefield Rd
Ste D
Mooresville, NC 28117
Phone (704) 360-6470
114 Commerce Center Loop
Ste B
Mooresville, NC 28117
Phone (704) 662-0877
146 Medical Park Rd
Ste 108
Mooresville, NC 28117
Phone (704) 662-0876
557 Brookdale Dr
Statesville, NC 28677
Phone (330) 445-4361
Organizations & group practices 5
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
-
dba IMH Professional CRNA
- General Acute Care Hospital
- Statesville, NC
- NPI 1548230204
-
- Specialist
- Mooresville, NC
- NPI 1386753457
-
- General Practice Physician
- Statesville, NC
- NPI 1811381593
-
dba Iredell Davis Behavioral Health Hospital
- Psychiatric Hospital
- Statesville, NC
- NPI 1417783705
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Statesville, NC
- NPI 1417944224
-
dba Atrium Health University City
- General Acute Care Hospital
- Charlotte, NC
- NPI 1346297892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647302400000",
"number": "1154666113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 932759",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441930015",
"telephone_number": "937-293-8228",
"fax_number": "937-293-8229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "146 MEDICAL PARK RD STE 108",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281178529",
"telephone_number": "704-662-0877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "MICHELLE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-03",
"last_updated": "2022-03-15",
"certification_date": "2022-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "RN. 306034",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "330435",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Mar 15, 2022; 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.