Active NPI
Patricia Roach Norcom, CRNA
- Certified Registered Nurse Anesthetist
- Fort Mill, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 26300
- Practice address
- 2536 Lengers Way
Fort Mill, SC 29707-7126 - Phone
- (704) 749-5800
- Fax
- (704) 626-3237
- NPI assigned
- May 10, 2006
- 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 | 053779 | NC | |
| Certified Registered Nurse Anesthetist | 367500000X | 26300 | SC | Primary |
Addresses
Primary practice location
2536 Lengers Way
Fort Mill, SC 29707-7126
Mailing address
PO Box 601549
Charlotte, NC 28260-1549
Phone (704) 384-4239
Other practice location 1
7 Independence Pt Ste 300
Greenville, SC 29615-4569
Phone (864) 522-3700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8052065 | Medicaid | NC | |
| NAN413 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 84.33 of 100
- Quality
- 75.48
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.29
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 053779 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Mint Hill Medical Center, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| NMG Southpark Services, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Providence Anesthesiology Associates, P.a. | Current | Accepting new patients | |
| The Presbyterian Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
240 Hospital Dr NE
Bolivia, NC 28422
Phone (336) 399-7678
200 Hawthorne Ln
Fl 2
Charlotte, NC 28204
Phone (704) 384-4274
6035 Fairview Rd
Charlotte, NC 28210
Phone (336) 718-2078
131 Providence Rd
Ste 200
Charlotte, NC 28207
Phone 70474958001101
8201 Healthcare Loop
Charlotte, NC 28215
Phone (980) 302-1000
14215 Ballantyne Corporate Pl
Ste 210
Charlotte, NC 28277
Phone (704) 316-2650
3735 Glenlake Dr
Ste 250
Charlotte, NC 28208
Phone (704) 749-5801
1918 Randolph Rd
Ste 740
Charlotte, NC 28207
Phone (704) 316-0810
200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424
10030 Gilead Rd
Huntersville, NC 28078
Phone (704) 316-4000
1500 Matthews Township Pkwy
Matthews, NC 28105
Phone (704) 384-6500
612 Mocksville Ave
Salisbury, NC 28144
Phone (704) 210-5000
2536 Lengers Way
Indian Land, SC 29707
Phone (803) 313-3294
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.
-
- Certified Registered Nurse Anesthetist
- Charlotte, NC
- NPI 1952690109
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Charlotte, NC
- NPI 1063910404
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Charlotte, NC
- NPI 1487626933
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Charlotte, NC
- NPI 1659250678
SC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688083200000",
"number": "1245289750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 601549",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282601549",
"telephone_number": "704-384-4239",
"fax_number": "704-384-5636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2536 LENGERS WAY",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297077126",
"telephone_number": "704-749-5800",
"fax_number": "704-626-3237"
}
],
"practiceLocations": [
{
"address_1": "7 Independence Pt Ste 300",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296154569",
"country_code": "US",
"telephone_number": "864-522-3700",
"fax_number": "864-522-3705",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NORCOM",
"first_name": "PATRICIA",
"middle_name": "ROACH",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-10",
"last_updated": "2023-06-30",
"certification_date": "2023-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "053779",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "26300",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8052065",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NAN413",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Mill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; 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.