Individual provider Active NPI

Colleen B McCreary, C.R.N.A.

  • Certified Registered Nurse Anesthetist
  • Baltimore, MD
National Provider Identifier
1396985149
Registry record updated Mar 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R135047 Issued in MD
Practice address
900 Caton Ave
Baltimore, MD 21229-5201
Phone
(410) 368-3048
NPI assigned
Mar 5, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2009

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 R135047 MD Primary

Addresses

Primary practice location

900 Caton Ave
Baltimore, MD 21229-5201

Mailing address

PO Box 632330
Baltimore, MD 21263-2330
Phone (240) 566-1625

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100420000812 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 3577610757 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ams National LLCGroup PAC ID 3870813025, 310 clinicians
CBM Anesthesia LLCGroup PAC ID 2062893795, 4 clinicians

Practice addresses (Care Compare)

10521 SW Village Ctr Dr
Suite 104
Port Saint Lucie, FL 34987-1930
Phone (772) 345-8600

3500 US Hwy 1
Vero Beach, FL 32960-4511
Phone (772) 202-6625

Hospital & facility affiliations

  • CCN 100366 Hospital, CCN 100366

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R135047MDMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Jupiter Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2015 Accepting new patients
Anesthesia Physician Solutions of South Florida, LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 13, 2015 Accepting new patients
Sheridan Healthcorp Inc Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2015 Accepting new patients
Jupiter Anesthesia Associates LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
US Anesthesia Partners of Florida Inc. Nurse Anesthetist, Certified Registered CurrentSince Nov 7, 2022 Accepting new patients
Jupiter Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2015 Accepting new patients
Miami Anesthesia Services LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 10, 2017 Accepting new patients
Sheridan Healthcorp, Inc. CurrentSince Jul 1, 2015 Accepting new patients
Anesthesia Physician Solutions of South Florida, LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 13, 2015 Accepting new patients
Sheridan Healthcorp Inc Nurse Anesthetist, Certified Registered Current Accepting new patients
St. Lucie Anesthesia Associates, LLC CurrentSince Apr 1, 2010 Accepting new patients
Anesthesia Physician Solutions of South Florida, LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Ams National LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 20, 2022 Accepting new patients
St Lucie Anesthesia Associates LLC CurrentSince Apr 1, 2010 Accepting new patients
CBM Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 11, 2022 Accepting new patients
Treasure Coast Anesthesia Group PA Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2020 Accepting new patients
St. Agnes Healthcare, Inc. Past Accepting new patients

Locations

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

3995 NW Goldenrod Rd
Jensen Beach, FL 34957
Phone (772) 497-0020

1210 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 743-5073

5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549

5959 NW 7th St
Miami, FL 33126
Phone (305) 264-1000

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434

266 NW Peacock Blvd
Ste 205
Port St Lucie, FL 34986
Phone (772) 446-4833

1800 SE Tiffany Ave
Port St Lucie, FL 34952
Phone (772) 398-1969

10521 SW Village Center Dr
Ste 104
Port St Lucie, FL 34987
Phone (772) 345-8600

1310 SE West Star Ave
Port St Lucie, FL 34952
Phone (772) 335-7171

200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618

7201 N University Dr
Tamarac, FL 33321
Phone (954) 721-2200

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

3500 US Highway 1
Vero Beach, FL 32960
Phone (772) 202-6625

1325 36th St
Ste B
Vero Beach, FL 32960
Phone (772) 589-0331

3301 S 14th St
Ste 16180
Abilene, TX 79605

Organizations & group practices 17

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 17

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": "1236211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236211200000",
    "number": "1396985149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632330",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212632330",
            "telephone_number": "240-566-1625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CATON AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295201",
            "telephone_number": "410-368-3048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCREARY",
        "first_name": "COLLEEN",
        "middle_name": "B",
        "credential": "C.R.N.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-05",
        "last_updated": "2009-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "R135047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.

Verify at the official NPI Registry.