Scarlett Justine Abrams, CRNA

Individual provider Active NPI Certified Registered Nurse Anesthetist · Rock Hill, SC

NPI 1376965285 · NPPES record last updated Aug 5, 2019

Key facts

NPI
1376965285
Entity type
Individual (NPI type 1)
Primary specialty
Certified Registered Nurse Anesthetist 367500000X
License
100040 (NC)
Practice address
222 S Herlong Ave
Rock Hill, SC 29732-1158
Phone
(803) 329-1234
NPI assigned
Jan 11, 2014
Sex
Female
Sole proprietor
No

Organizations & group practices 7

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.

Medicare Care Compare profile

Merit-based Incentive Payment System (MIPS)

Final score
87.26 of 100 (group)
Quality
84.96
Promoting interoperability
100
Improvement activities
40
Cost
72.58

Medicare participation

Medicare fee-for-service enrollment
Enrolled in SC

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20160419000465 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 1052541232 Reassigns benefits to 5 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
100040NCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Physician Network LLC Current
since Jun 1, 2024
Accepting new patients
York County Anesthesia Associates LLC Nurse Anesthetist, Certified Registered Current
since Jun 29, 2023
Accepting new patients
Providence Anesthesiology Associates, P.a. Current
since Feb 19, 2020
Accepting new patients
Anesthesia Associates of Rock Hill, P.a. Current
since Apr 6, 2016
Accepting new patients
Gaston Anesthesia Associates, P.a. Past Accepting new patients
Ambulatory Anesthesia of Pinehurst, PA Past Accepting new patients

Locations

3735 Glenlake Dr
Ste 250
Charlotte, NC 28208
Phone (704) 749-5801

2536 Lengers Way
Indian Land, SC 29707
Phone (803) 313-3294

222 Herlong Ave S
Rock Hill, SC 29732
Phone (803) 324-1950

164 Glenwood Dr
Rock Hill, SC 29732
Phone (803) 325-9010

200 Herlong Ave S
Ste E
Rock Hill, SC 29732
Phone (803) 324-1950

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14929/brand/3/csg/1/fhir/r4

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 100040 NC Yes

Addresses

Primary practice location

222 S Herlong Ave
Rock Hill, SC 29732-1158

Mailing address

PO Box 848599
Boston, MA 02284-8599
Phone (888) 549-1922

Other names

  • Scarlett Justine Blake Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 5, 2019.

{
    "created_epoch": "1389398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1376965285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 848599",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022848599",
            "telephone_number": "888-549-1922",
            "fax_number": "252-752-2297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S HERLONG AVE",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321158",
            "telephone_number": "803-329-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAMS",
        "first_name": "SCARLETT",
        "middle_name": "JUSTINE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-11",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "100040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SCARLETT",
            "last_name": "BLAKE",
            "middle_name": "JUSTINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rock Hill, SC

All providers in Rock Hill, SC · Certified Registered Nurse Anesthetist in South Carolina

Sources for this page

Verify at the official NPI Registry.