Individual provider Active NPI

Ann L Duggan, CRNA

  • Certified Registered Nurse Anesthetist
  • Cranston, RI
National Provider Identifier
1376535179
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
086053 Issued in MA
Practice address
725 Reservoir Ave
Cranston, RI 02910-4450
Phone
(401) 944-3800
Fax
(401) 943-3129
NPI assigned
Aug 17, 2005
Last updated
Dec 12, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2007

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 086053 MA Primary

Addresses

Primary practice location

725 Reservoir Ave
Cranston, RI 02910-4450

Mailing address

725 Reservoir Ave
Cranston, RI 02910-4450
Phone (401) 944-3800

Other identifiers 2

IdentifierTypeStateIssuer
410297OtherRIBLUE CHIP
321134OtherRIBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060320000087 MA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3678475472 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlantic Anesthesia PCGroup PAC ID 9638255300, 33 clinicians

Practice addresses (Care Compare)

100 Morse St
Norwood, MA 02062-4679
Phone (781) 255-0362

211 Park St
Attleboro, MA 02703-3143
Phone (508) 222-5200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
086053MAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
North American Partners in Anesthesia Massachusetts LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 14, 2019 Accepting new patients
Atlantic Anesthesia, P.C. CurrentSince Mar 1, 2018 Accepting new patients
MVP Anesthesia Associates, PC Nurse Anesthetist, Certified Registered Past Accepting new patients
New England Anesthesiologists, Inc. Past Accepting new patients

Locations

300D Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 998-6683

100 Morse St
Norwood, MA 02062
Phone (781) 255-0362

211 Park St
South Attleboro, MA 02703
Phone (508) 222-5200

43 High St
Wareham, MA 02571
Phone (508) 273-4200

Organizations & group practices 4

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.

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": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197417600000",
    "number": "1376535179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 RESERVOIR AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029104450",
            "telephone_number": "401-944-3800",
            "fax_number": "401-943-3129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 RESERVOIR AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029104450",
            "telephone_number": "401-944-3800",
            "fax_number": "401-943-3129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGGAN",
        "first_name": "ANN",
        "middle_name": "L",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-17",
        "last_updated": "2007-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MA",
            "license": "086053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "410297",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "321134",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.