Individual provider Active NPI

Charla L Schrimpe, CRNA

  • Certified Registered Nurse Anesthetist
  • Lebanon, TN
National Provider Identifier
1215923693
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
070511 Issued in TN
Practice address
122 Geris Way
Lebanon, TN 37087-8313
Phone
(615) 444-4571
NPI assigned
Sep 21, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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 070511 TN Primary

Addresses

Primary practice location

122 Geris Way
Lebanon, TN 37087-8313

Mailing address

122 Geris Way
Lebanon, TN 37087-8313
Phone (615) 444-4571

Other identifiers 4

IdentifierTypeStateIssuer
009947655MedicaidAL
4077095OtherTNBCBS NUMBER
74007782MedicaidKY
3633328MedicaidTN

Other names 1

  • Charla L Schrimpe Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040302000841 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 2163319328 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
070511TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Murfreesboro Medical Clinic, P.a. CurrentSince Jan 25, 2011 Accepting new patients
Anesthesia Medical Group, PC CurrentSince Jul 1, 2016 Accepting new patients
Murfreesboro Medical Clinic, P.a. CurrentSince Jan 25, 2011 Accepting new patients
Uap Lebanon Endo, LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 12, 2019 Accepting new patients
Anesthesia Medical Group, PC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2016 Accepting new patients
Murfreesboro Medical Clinic, P.a. Current Accepting new patients
Wilson County Eye Surgery Center, LLC Current Accepting new patients

Locations

1411 W Baddour Pkwy
Lebanon, TN 37087
Phone (615) 443-2500

100 Physicians Way
Ste 340
Lebanon, TN 37090
Phone (615) 449-3335

1670 W Main St
Ste 120
Lebanon, TN 37087
Phone (615) 453-4906

1272 Garrison Dr
Murfreesboro, TN 37129
Phone (615) 867-7925

110 29th Ave N
Ste 202
Nashville, TN 37203
Phone (615) 327-7870

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213660800000",
    "number": "1215923693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 GERIS WAY",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370878313",
            "telephone_number": "615-444-4571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 GERIS WAY",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370878313",
            "telephone_number": "615-444-4571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRIMPE",
        "first_name": "CHARLA",
        "middle_name": "L",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-21",
        "last_updated": "2008-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "070511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009947655",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NUMBER",
            "identifier": "4077095",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74007782",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3633328",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLA",
            "last_name": "SCHRIMPE",
            "middle_name": "L",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lebanon, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.