Active NPI
Fernando A Balmaceda III, CRNA
- Certified Registered Nurse Anesthetist
- Madison, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 78144
- Practice address
- 154 Cude LN
Madison, TN 37115-2202 - Phone
- (615) 865-6268
- Fax
- (615) 868-7378
- NPI assigned
- Jan 16, 2008
- Last updated
- May 1, 2009
- 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 | 78144 | TN | Primary |
Addresses
Primary practice location
154 Cude LN
Madison, TN 37115-2202
Mailing address
154 Cude LN
Madison, TN 37115-2202
Phone (615) 865-6268
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
110 29TH Ave N
Suite 202
Nashville, TN 37203-1448
Phone (615) 327-4304
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 65.57 of 100
- Quality
- 59.49
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 78144 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Medical Group, PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Nashville Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
154 Cude Ln
Madison, TN 37115
Phone (615) 865-6268
110 29th Ave N
Ste 202
Nashville, TN 37203
Phone (615) 327-7870
397 Wallace Rd
Ste 407
Nashville, TN 37211
Phone (615) 832-5530
200 Stonecrest Blvd
Smyrna, TN 37167
Phone (615) 768-2000
Organizations & group practices 2
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
- Nashville, TN
- NPI 1215932413
Nurse Anesthetist, Certified Registered
-
dba Nashville Anesthesia Services
- Anesthesiology Physician
- Nashville, TN
- NPI 1225081805
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Williamson Medical Center
- General Acute Care Hospital
- Franklin, TN
- NPI 1265445506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241136000000",
"number": "1336325653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "154 CUDE LN",
"city": "MADISON",
"state": "TN",
"postal_code": "371152202",
"telephone_number": "615-865-6268",
"fax_number": "615-868-7378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "154 CUDE LN",
"city": "MADISON",
"state": "TN",
"postal_code": "371152202",
"telephone_number": "615-865-6268",
"fax_number": "615-868-7378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALMACEDA",
"first_name": "FERNANDO",
"middle_name": "A",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-16",
"last_updated": "2009-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "78144",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2009; 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.