Active NPI
Robert Paul Carpenter, CRNA
- Certified Registered Nurse Anesthetist
- Oxford, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 19619
- Practice address
- 2301 South Lamar Blvd.
Oxford, MS 38655 - Phone
- (662) 232-8100
- Fax
- (334) 244-1830
- NPI assigned
- Nov 2, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R852840 | MS | |
| Certified Registered Nurse Anesthetist | 367500000X | 19619 | TN | Primary |
Addresses
Primary practice location
2301 South Lamar Blvd.
Oxford, MS 38655
Mailing address
PO Box 235022
Montgomery, AL 36123-5022
Phone (334) 386-2053
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- State of Mississippi - University of Mississippi Medical Center
Practice addresses (Care Compare)
2100 Exeter Rd
Suite 200
Germantown, TN 38138-3966
Phone (901) 699-4436
2500 N State St
Jackson, MS 39216-4500
Phone (601) 815-4775
960 Avent Dr
Grenada, MS 38901-5230
Phone (662) 227-7000
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.94 of 100
- Quality
- 67.75
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.17
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19619 | TN | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Willow Pain and Wellness, LLC | Current | Accepting new patients | |
| Medical Anesthesia Group, PA | Current | Accepting new patients | |
| Lifelinc Anesthesia, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Willow Pain and Wellness, LLC | Current | Accepting new patients | |
| State of Mississippi-University of Mississippi Medical Center | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Axis Anesthesia | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| State of Mississippi-University of Mississippi Medical Center | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Tupelo Anesthesia Group PA | Past | Accepting new patients |
Locations
634 Leigh Dr
Columbus, MS 39705
Phone (601) 978-3393
965 Avent Dr
Ste 100A
Grenada, MS 38901
Phone (662) 227-7000
960 Avent Dr
#J
Grenada, MS 38901
Phone (662) 227-6450
960 Avent Dr
Grenada, MS 38901
Phone (662) 227-7000
2500 N State St
Jackson, MS 39216
Phone (601) 815-4775
2500 N State St
#4200
Jackson, MS 39216
4250 Bethel Rd
Olive Branch, MS 38654
Phone (662) 932-9000
499 Azalea Dr
Oxford, MS 38655
Phone (662) 234-7979
1100 Belk Blvd
Oxford, MS 38655
Phone (662) 636-1000
2301 S Lamar Blvd
Oxford, MS 38655
Phone (662) 232-8369
2215 Jefferson Davis Dr
Oxford, MS 38655
Phone (662) 234-3303
830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136
1363 S Germantown Rd
Memphis, TN 38138
Phone (901) 516-6000
Interoperability endpoints
- ksnyder67547@ummc.direct-ci.com
Organizations & group practices 11
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.
-
- Certified Registered Nurse Anesthetist
- Oxford, MS
- NPI 1205169521
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1154317527
-
- Certified Registered Nurse Anesthetist
- Grenada, MS
- NPI 1831520691
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Memphis, TN
- NPI 1801021464
MS, Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Oxford, MS
- NPI 1093496838
Nurse Anesthetist, Certified Registered
-
- Prosthetic/Orthotic Supplier
- Jackson, MS
- NPI 1235019530
-
- Nurse Practitioner
- Jackson, MS
- NPI 1699857433
Nurse Anesthetist, Certified Registered
-
- Pain Clinic/Center
- Oxford, MS
- NPI 1093188096
-
- Pain Clinic/Center
- Batesville, MS
- NPI 1104300854
-
- Anesthesiology Physician
- Tupelo, MS
- NPI 1558390443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464652800000",
"number": "1417036419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 235022",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361235022",
"telephone_number": "334-386-2053",
"fax_number": "334-244-1830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 SOUTH LAMAR BLVD.",
"city": "OXFORD",
"state": "MS",
"postal_code": "38655",
"telephone_number": "662-232-8100",
"fax_number": "334-244-1830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARPENTER",
"first_name": "ROBERT",
"middle_name": "PAUL",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2016-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MS",
"license": "R852840",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "19619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oxford, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; 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.