Individual provider Active NPI

Victoria Louise Farnsworth, CRNA

  • Certified Registered Nurse Anesthetist
  • Charlotte, NC
National Provider Identifier
1265071658
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
6842 Issued in NC
Practice address
9848 N Tryon St Ste 250
Charlotte, NC 28262-5512
Phone
(704) 749-5800
Fax
(704) 626-3237
NPI assigned
Jan 2, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 367500000X 128770 TN
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X 6842 NC Primary

Addresses

Primary practice location

9848 N Tryon St Ste 250
Charlotte, NC 28262-5512

Mailing address

295 Eclipse Dr
Colorado Springs, CO 80905-4300
Phone (843) 801-2725

Other identifiers 2

IdentifierTypeStateIssuer
C-APN.0001821-CRNAOtherCOCOLORADO BOARD OF NURSING
128770OtherTNNBCRNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220420000415 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 6800223033 Reassigns benefits to 3 organizations
I20240416002681 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 6800223033 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Practice addresses (Care Compare)

3000 Saint Matthews Rd
Orangeburg, SC 29118-1442
Phone (803) 395-3400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.41 of 100Reported as group
Quality
64.93
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6842NCMDPharmacist
28554SCMDGastroenterology Physician
128770TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Musc Community Physicians Multi-Specialty CurrentSince May 1, 2024 Accepting new patients
CHS Anesthesia Services Group Inc Multi-Specialty CurrentSince Apr 1, 2023 Accepting new patients
Musc Community Physicians CurrentSince May 1, 2024 Accepting new patients
Providence Anesthesiology Associates, P.a. Multi-Specialty CurrentSince May 15, 2022 Accepting new patients
East Carolina Anesthesia Associates, PLLC Multi-Specialty CurrentSince Mar 25, 2023 Accepting new patients

Locations

131 Providence Rd
Ste 200
Charlotte, NC 28207
Phone 70474958001101

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

3735 Glenlake Dr
Ste 250
Charlotte, NC 28208
Phone (704) 749-5801

1918 Randolph Rd
Ste 740
Charlotte, NC 28207
Phone (704) 316-0810

2545 Court Dr
Gastonia, NC 28054
Phone (704) 671-5600

2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200

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.

Hospital & facility affiliations 1

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": "1577923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1265071658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 ECLIPSE DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809054300",
            "telephone_number": "843-801-2725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9848 N TRYON ST STE 250",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282625512",
            "telephone_number": "704-749-5800",
            "fax_number": "704-626-3237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARNSWORTH",
        "first_name": "VICTORIA",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-02",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "128770",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "6842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO BOARD OF NURSING",
            "identifier": "C-APN.0001821-CRNA",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NBCRNA",
            "identifier": "128770",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.

Verify at the official NPI Registry.