Active NPI
Andrew Purcell, CRNA
- Certified Registered Nurse Anesthetist
- Edgewood, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 3009185
- Practice address
- 1 Medical Village Dr
Edgewood, KY 41017-3403 - Phone
- (859) 341-7246
- NPI assigned
- Dec 3, 2014
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 28179561A | IN | |
| Registered Nurse | 163W00000X | 1133059 | KY | |
| Registered Nurse | 163W00000X | 378763 | OH | |
| Certified Registered Nurse Anesthetist | 367500000X | 3009185 | KY | Primary |
Addresses
Primary practice location
1 Medical Village Dr
Edgewood, KY 41017-3403
Mailing address
20 Medical Village Dr Ste 258
Edgewood, KY 41017-5411
Phone (859) 341-7246
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154728343 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- University of Cincinnati College of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Wyoming St
Dayton, OH 45409-2722
Phone (937) 208-8000
1805 27TH St
Portsmouth, OH 45662-2640
Phone (740) 356-8681
7500 State Rd
Cincinnati, OH 45255-2439
Phone (513) 624-4500
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28179561A | IN | MD | Registered Nurse |
| 378763 | OH | MD | Registered Nurse |
| 3009185 | KY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Promedica Central Physicians | Current | Accepting new patients | |
| Somc Medical Care Foundation, Inc. | Current | Accepting new patients | |
| Promedica Central Physicians | Current | Accepting new patients | |
| Somc Medical Care Foundation, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Somc Medical Care Foundation, Inc. | Current | Accepting new patients | |
| Arlington Anesthesia Partners LLC | Current | Accepting new patients | |
| Southwest Ohio Anesthesia Consultants LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| PHS Anesthesia Billing, LLC | Current | Accepting new patients |
Locations
425 Centre View Blvd
Crestview Hills, KY 41017
Phone (859) 341-3575
20 Medical Village Dr
Ste 258
Edgewood, KY 41017
Phone (606) 341-2666
3000 Hospital Dr
Batavia, OH 45103
Phone (513) 557-3209
L6147
Cincinnati, OH 45270
7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034
600 N Pickaway St
Circleville, OH 43113
Phone (614) 352-6479
1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636
1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000
2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111
2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112
Organizations & group practices 8
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
- Middletown, OH
- NPI 1578361044
-
- Family Medicine Physician
- Portsmouth, OH
- NPI 1457467227
-
- Anesthesiology Physician
- Cincinnati, OH
- NPI 1588645188
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Circleville, OH
- NPI 1578209342
-
- Family Medicine Physician
- Toledo, OH
- NPI 1043270150
-
- Durable Medical Equipment & Medical Supplies
- Toledo, OH
- NPI 1669068482
-
- Diagnostic Radiology Physician
- Portsmouth, OH
- NPI 1366686230
-
- Anesthesiology Physician
- Portsmouth, OH
- NPI 1629247010
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1336478163
-
- General Acute Care Hospital
- Dayton, OH
- NPI 1073688354
-
- General Acute Care Hospital
- Portsmouth, OH
- NPI 1053342816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422921600000",
"number": "1154728343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 MEDICAL VILLAGE DR STE 258",
"city": "EDGEWOOD",
"state": "KY",
"postal_code": "410175411",
"telephone_number": "859-341-7246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL VILLAGE DR",
"city": "EDGEWOOD",
"state": "KY",
"postal_code": "410173403",
"telephone_number": "859-341-7246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURCELL",
"first_name": "ANDREW",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-12-03",
"last_updated": "2015-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IN",
"license": "28179561A",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "KY",
"license": "1133059",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "378763",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KY",
"license": "3009185",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1154728343",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edgewood, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; 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.