Individual provider Active NPI

Melissa Mae Mitchell, CRNA

  • Certified Registered Nurse Anesthetist
  • Florence, SC
National Provider Identifier
1194784033
Registry record updated Apr 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APN1753 Issued in SC
Practice address
700 S Parker Dr
Florence, SC 29501-6059
Phone
(843) 679-3251
NPI assigned
Mar 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2018

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 APN1753 SC Primary

Addresses

Primary practice location

700 S Parker Dr
Florence, SC 29501-6059

Mailing address

1011 S Hanover Rd
Florence, SC 29501-6061
Phone (843) 621-2607

Other identifiers 1

IdentifierTypeStateIssuer
AN1163MedicaidSC

Other names 1

  • Melissa Mitchell Baynes Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060221000849 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 5193731644 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLeod Physician Associates IIGroup PAC ID 8224031307, 541 clinicians

Practice addresses (Care Compare)

555 E Cheves St
Florence, SC 29506-2617
Phone (843) 777-7000

Hospital & facility affiliations

  • McLeod Regional Medical Center-Pee Dee Hospital, Florence, SC, CCN 420051
  • McLeod Loris Hospital Hospital, Loris, SC, CCN 420105

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1753SCMDOptometrist
APN1753SCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2016 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Nov 3, 2018 Accepting new patients
McLeod Physician Associates II CurrentSince May 1, 2021 Accepting new patients
Carolina Anesthesia Associates PA Nurse Anesthetist, Certified Registered CurrentSince Jun 29, 2012 Accepting new patients
McLeod Physician Associates II Current Accepting new patients
McLeod Physician Associates II CurrentSince May 1, 2021 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc Nurse Anesthetist, Certified Registered CurrentSince Nov 3, 2018 Accepting new patients
Anesthesia Network Services, LLC Past Accepting new patients

Locations

3312 Battleground Ave
Greensboro, NC 27410
Phone (336) 282-5000

101 W 27th St
Lumberton, NC 28358
Phone (910) 739-0770

5115 Oleander Dr
Wilmington, NC 28403
Phone (910) 362-1011

301 E Jackson St
Dillon, SC 29536
Phone (843) 774-1166

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

805 Pamplico Hwy
Florence, SC 29505
Phone (843) 674-2500

800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950

1204 E Cheves St
Florence, SC 29506
Phone (843) 673-0122

101 Surgeons Dr
Myrtle Beach, SC 29579
Phone (803) 504-7194

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

Organizations & group practices 9

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 2

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": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524009600000",
    "number": "1194784033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 S HANOVER RD",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295016061",
            "telephone_number": "843-621-2607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S PARKER DR",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295016059",
            "telephone_number": "843-679-3251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "MELISSA",
        "middle_name": "MAE",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-20",
        "last_updated": "2018-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "APN1753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AN1163",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "BAYNES",
            "middle_name": "MITCHELL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2018; 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.