Active NPI
Brian R. Doucette, CRNA
- Certified Registered Nurse Anesthetist
- Wakefield, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN2332347
- Practice address
- 164 Silver Lake Ave
Wakefield, RI 02879-4224 - Phone
- (401) 744-4900
- NPI assigned
- Dec 16, 2020
- Last updated
- Sep 20, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN2332347 | MA | Primary |
Addresses
Primary practice location
164 Silver Lake Ave
Wakefield, RI 02879-4224
Mailing address
164 Silver Lake Ave
Wakefield, RI 02879-4224
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110170927A | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI, VA, NC
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
117 E Kings Hwy
Eden, NC 27288-5201
Phone (336) 623-9711
1200 N Elm St
Greensboro, NC 27401-1004
Phone (336) 832-7000
142 S Main St
Danville, VA 24541-2922
Phone (434) 799-3839
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.78 of 100
- Quality
- 78.19
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 81.07
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7050 | NC | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Moses H. Cone Memorial Hospital Operating Corporation | Current | Accepting new patients | |
| The Moses H Cone Memorial Hospital Operating Corporation | Current | Accepting new patients | |
| Medstream Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| The Moses H Cone Memorial Hospital Operating Corporation | Current | Accepting new patients | |
| Charlestown Ambulance & Rescue Service, Inc. | Past | Accepting new patients |
Locations
117 E Kings Hwy
Eden, NC 27288
Phone (336) 627-6181
1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000
509 N Elam Ave
Fl 3
Greensboro, NC 27403
Phone (336) 832-1970
830 Rockford St
Mount Airy, NC 27030
Phone (336) 719-7000
142 S Main St
Danville, VA 24541
Phone (434) 799-2100
6801 Governor Gc Peery Hwy
Richlands, VA 24641
Phone (276) 523-8600
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Richardson, TX
- NPI 1649616160
NC, Nurse Anesthetist, Certified Registered, VA
-
dba Cone Health Sickle Cell Center
- Internal Medicine Physician
- Greensboro, NC
- NPI 1013265909
-
- Internal Medicine Physician
- Greensboro, NC
- NPI 1356372064
-
dba Cone Health Community Pharmacy at Eden
- Community/Retail Pharmacy
- Eden, NC
- NPI 1861222507
-
- Land Ambulance
- Charlestown, RI
- NPI 1528056991
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba SOVAH Health Martinsville
- General Acute Care Hospital
- Martinsville, VA
- NPI 1386720183
-
dba SOVAH Health Danville
- Rural Acute Care Hospital
- Danville, VA
- NPI 1154419737
-
- General Acute Care Hospital
- Greensboro, NC
- NPI 1477591055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663632000000",
"number": "1285220012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "164 SILVER LAKE AVE",
"city": "WAKEFIELD",
"state": "RI",
"postal_code": "028794224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "164 SILVER LAKE AVE",
"city": "WAKEFIELD",
"state": "RI",
"postal_code": "028794224",
"telephone_number": "401-744-4900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUCETTE",
"first_name": "BRIAN",
"middle_name": "R.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-16",
"last_updated": "2022-09-20",
"certification_date": "2022-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MA",
"license": "RN2332347",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110170927A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wakefield, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.