Individual provider Active NPI

Joseph Patrick McVicker, CRNA

  • Registered Nurse
  • Camp Lejeune, NC
National Provider Identifier
1346211737
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
168656 Issued in NC
Practice address
Naval Hospital, Anesthesia Department
100 Brewster Blvd
Camp Lejeune, NC 28547
Phone
(910) 450-3326
NPI assigned
Feb 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 168656 NC Primary
Certified Registered Nurse Anesthetist 367500000X C01382 AR
Certified Registered Nurse Anesthetist 367500000X 168656 NC
Certified Registered Nurse Anesthetist 367500000X 0024165747 VA

Addresses

Primary practice location

Naval Hospital, Anesthesia Department
100 Brewster Blvd
Camp Lejeune, NC 28547

Mailing address

139 Yacht Club Dr
Newport, NC 28570-9085
Phone (252) 393-1109

Other identifiers 1

IdentifierTypeStateIssuer
44313600MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, IN, KY, IL, IA5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20200403001329 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 0143211151 Reassigns benefits to 1 organization
I20200610000269 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 0143211151 Reassigns benefits to 1 organization
I20231102002166 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 0143211151 Reassigns benefits to 1 organization
I20240322002937 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 0143211151 Reassigns benefits to 6 organizations
I20260429002586 IA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0143211151 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wayne County HospitalGroup PAC ID 4082508734, 46 clinicians

Practice addresses (Care Compare)

417 S E St
Corydon, IA 50060-1860

417 S E St
Corydon, IA 50060-1865
Phone (641) 872-2260

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
168656NCMDRegistered Nurse
47450WIMDEmergency Medicine Physician
C01382ARMDCertified Registered Nurse Anesthetist
0024165747VAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Oncology Hematology Associates of Northern Illinois, LTD CurrentSince Jul 4, 2024 Accepting new patients
County of Clay CurrentSince Sep 17, 2025 Accepting new patients
County of Clay CurrentSince Sep 17, 2025 Accepting new patients
360 Anesthesia PLLC Anesthesiology CurrentSince Jan 2, 2024 Accepting new patients
McLeod Health Cheraw Nurse Anesthetist, Certified Registered CurrentSince Feb 28, 2020 Accepting new patients
Morrison Community Hospital District CurrentSince Dec 1, 2025 Accepting new patients
Ivory Coast Anesthesia Management LLC Anesthesiology CurrentSince Mar 31, 2024 Accepting new patients
Morrison Community Hospital District CurrentSince Dec 1, 2025 Accepting new patients
Waukegan Clinic Corp CurrentSince Jul 4, 2024 Accepting new patients
McLeod Health Cheraw CurrentSince Feb 28, 2020 Accepting new patients
County of Clay Current Accepting new patients
Commonwealth Anesthesia, PSC Anesthesiology CurrentSince Oct 1, 2023 Accepting new patients
G & G Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 18, 2025 Accepting new patients
Bladen Healthcare LLC Past Accepting new patients
Lenoir Memorial Hospital, Incorporated Nurse Anesthetist, Certified Registered Past Accepting new patients
Lenoir Memorial Hospital, Incorporated Past Accepting new patients
Onslow Memorial Hospital Inc Past Accepting new patients

Locations

1 Saint Anthonys Way
Alton, IL 62002
Phone (618) 233-6870

4646 N Marine Dr
Chicago, IL 60640
Phone (773) 564-5102

911 Stacey Burk Dr
Flora, IL 62839
Phone (618) 662-2161

200 S Greenleaf St
Ste L
Gurnee, IL 60031
Phone (847) 360-7888

3333 W Deyoung St
Marion, IL 62959
Phone (618) 998-7020

3 Erie Ct
Oak Park, IL 60302
Phone (708) 763-6200

1324 N Sheridan Rd
Waukegan, IL 60085
Phone (847) 360-3000

600 W 13th St
Jasper, IN 47546
Phone (812) 482-7441

800 W 9th St
Jasper, IN 47546
Phone (812) 482-2345

310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612

711 Chesterfield Hwy
Cheraw, SC 29520
Phone (843) 320-3304

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2069/brand/1/csg/29/fhir/r4

Organizations & group practices 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1346211737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 YACHT CLUB DR",
            "city": "NEWPORT",
            "state": "NC",
            "postal_code": "285709085",
            "telephone_number": "252-393-1109",
            "fax_number": "252-393-1109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NAVAL HOSPITAL, ANESTHESIA DEPARTMENT",
            "address_2": "100 BREWSTER BLVD",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "28547",
            "telephone_number": "910-450-3326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCVICKER",
        "first_name": "JOSEPH",
        "middle_name": "PATRICK",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "168656",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "C01382",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "168656",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024165747",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44313600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Lejeune, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.