Individual provider Active NPI

Dawn M. B. McCool, CRNA

  • Certified Registered Nurse Anesthetist
  • Kailua Kona, HI
National Provider Identifier
1306816608
Registry record updated Oct 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN348193L Issued in PA
Practice address
73-1296 Ilau St
Kailua Kona, HI 96740-9333
Phone
(856) 366-8404
Fax
(808) 323-3478
NPI assigned
Jan 26, 2006
Last updated
Oct 17, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2017

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 RN348193L PA Primary

Addresses

Primary practice location

73-1296 Ilau St
Kailua Kona, HI 96740-9333

Mailing address

PO Box 2295
Asheville, NC 28802-2295
Phone (828) 398-5244

Other names 1

  • Dawn Marie Baker McCool Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090110000193 HI Practitioner - Certified Registered Nurse Anesthetist (Crna) 8022093293 Reassigns benefits to 2 organizations
I20170517001103 WI Practitioner - Certified Registered Nurse Anesthetist (Crna) 8022093293 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN348193LPAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Medstream Anesthesia Hawaii, LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2015 Accepting new patients
Racine Anesthesia Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2017 Accepting new patients
Pec Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 28, 2018 Accepting new patients
Health Services of Fox Chase Cancer Center Past Accepting new patients
Cooper Physician Offices, PA Past Accepting new patients
Virtua Surgical Group, P.a Past Accepting new patients
Laboratory Corportation of America Holdings Past Accepting new patients
Health Services of Fox Chase Cancer Center Past Accepting new patients
Kona Hospital Past Accepting new patients

Locations

134 Puuhonu Way
Hilo, HI 96720
Phone (808) 935-1956

67-1125 Mamalahoa Hwy
Kamuela, HI 96743
Phone (808) 881-4400

79-1019 Haukapila St
Kealakekua, HI 96750
Phone (808) 322-4413

1029 Makolu St
Ste H
Pearl City, HI 96782
Phone (808) 456-6420

3801 Spring St
Mount Pleasant, WI 53405
Phone (262) 636-4011

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508198400000",
    "number": "1306816608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2295",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288022295",
            "telephone_number": "828-398-5244",
            "fax_number": "828-360-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73-1296 ILAU ST",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967409333",
            "telephone_number": "856-366-8404",
            "fax_number": "808-323-3478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOOL",
        "first_name": "DAWN",
        "middle_name": "M. B.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2017-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN348193L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAWN",
            "last_name": "MCCOOL",
            "middle_name": "MARIE BAKER",
            "credential": "CRNA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Kailua Kona, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2017; 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.