Simon Blaine Forrester, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

18756 Issued in SC

Practice address

7 Independence PT Ste 300
Greenville, SC 29615-4569

Phone

(864) 522-3700

Fax

(864) 522-3705

NPI assigned

Mar 19, 2014

Last updated

Jan 25, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC, FL, MA3 enrollments

Enrollment records 3

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Atlantic Coast Anesthesia Services PCGroup PAC ID 3971887167, 71 clinicians

Prisma Health University Medical GroupGroup PAC ID 8325950983, 2,467 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Prisma Health Oconee Memorial Hospital Hospital, Seneca, SC, CCN 420009
• Grand Strand Regional Medical Center Hospital, Myrtle Beach, SC, CCN 420085
• Prisma Health Baptist Easley Hospital Hospital, Easley, SC, CCN 420015

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations (25 of 26)

Networks

• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: sforrester1151164@direct.bsmhealth.org

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.

• Atlantic Coast Anesthesia Services P.C.

  • Anesthesiology Physician
  • Myrtle Beach, SC
  • NPI 1932641313

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Prisma Health University Medical Group

  • Family Medicine Physician
  • Greenville, SC
  • NPI 1295763217
  Medicare reassignment Care Compare group NPD
• Musc Community Physicians

  dba MUSC Community Physicians Specialty

  • Internal Medicine Physician
  • Bamberg, SC
  • NPI 1841878006
  Medicare reassignment NPD
• Prisma Health-Upstate

  dba Prisma Health Greenville Memorial Hospital

  • General Acute Care Hospital
  • Greenville, SC
  • NPI 1649726738
  Medicare reassignment NPD
• St. Francis Hospital, Inc.

  • General Acute Care Hospital
  • Greenville, SC
  • NPI 1558305995
  Medicare reassignment NPD
• Gulf-to-Bay Anesthesiology Associates LLC

  • Anesthesiology Physician
  • Tampa, FL
  • NPI 1720039746
  Medicare reassignment NPD
• Synergy Anesthesiology Inc

  • Certified Registered Nurse Anesthetist
  • Alpharetta, GA
  • NPI 1003040502

  Nurse Anesthetist, Certified Registered, SC

  Medicare reassignment NPD
• Umass Memorial Medical Group Inc

  • Internal Medicine Physician
  • Worcester, MA
  • NPI 1760445373
  Medicare reassignment NPD
• Musc Community Physicians

  dba MUSC Health Primary Care - Bowman

  • Rural Health Clinic/Center
  • Bowman, SC
  • NPI 1225735772
  NPD
• Pathology Associates of Greenville PA

  • Anatomic Pathology & Clinical Pathology Physician
  • Greenville, SC
  • NPI 1831151976
  NPD
• Prisma Health University Medical Group

  dba Parkside OB-GYN

  • Gynecology Physician
  • Greer, SC
  • NPI 1003619313
  NPD
• Prisma Health University Medical Group

  dba GHS Pih Dba Umg GVL Anesthes

  • Anesthesiology Physician
  • Greenville, SC
  • NPI 1528465374
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Grand Strand Regional Medical Center LLC

  dba Grand Strand Medical Center

  • General Acute Care Hospital
  • Myrlte Beach, SC
  • NPI 1083668669
  Care Compare affiliation
• Prisma Health-Upstate

  dba Prisma Health Oconee Memorial Hospital

  • General Acute Care Hospital
  • Seneca, SC
  • NPI 1063968196
  Care Compare affiliation
• Prisma Health-Upstate

  dba Prisma Health Center For Family Medicine-Oconee

  • Clinic/Center
  • Seneca, SC
  • NPI 1407345846

  Hospital

  Care Compare affiliation
• Prisma Health-Upstate

  dba Prisma Health Baptist Easley Hosptial O/P Therapy Services

  • General Acute Care Hospital
  • Greenville, SC
  • NPI 1578044053
  Care Compare affiliation
• Prisma Health-Upstate

  dba Prisma Health Baptist Easley Hospital

  • General Acute Care Hospital
  • Easley, SC
  • NPI 1639656713
  Care Compare affiliation
• Prisma Health-Upstate

  dba Prisma Health Baptist Easley Hospital O/P Services

  • General Acute Care Hospital
  • Easley, SC
  • NPI 1669951364
  Care Compare affiliation
• Prisma Health-Upstate

  dba Prisma Health Baptist Easley Hospital O/P Therapy Services

  • General Acute Care Hospital
  • Easley, SC
  • NPI 1760963243
  Care Compare affiliation
• Prisma Health-Upstate

  dba Prisma Health Baptist Easley Hospital O/P Services, MCP

  • General Acute Care Hospital
  • Greenville, SC
  • NPI 1790264497
  Care Compare affiliation
• Prisma Health-Upstate

  dba Prisma Health Oconee Pain Management

  • Pain Clinic/Center
  • Seneca, SC
  • NPI 1891237632

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1457778268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "864-522-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 INDEPENDENCE PT STE 300",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154569",
            "telephone_number": "864-522-3700",
            "fax_number": "864-522-3705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1325 Spring St",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "SC",
            "postal_code": "296463860",
            "country_code": "US",
            "telephone_number": "864-227-8242",
            "fax_number": "864-227-8148",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 Grove Rd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296054210",
            "country_code": "US",
            "telephone_number": "864-455-3076",
            "fax_number": "864-455-4135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORRESTER",
        "first_name": "SIMON",
        "middle_name": "BLAINE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-19",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "208824",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "18756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AN2353",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Forgione
• Form X Function Wellness, LLC
• Shannon Forman, 4188
• Lisa Dandridge Forrester, MD
• Ryan Taylor Forrester, M.D.
• Carl Gunnar Forsberg, M.D.
• David Andrew Forstein, D.O.
• Dianna Fort, NP
• Fortenberry Counseling and Consulting Services, LLC.
• Tayla Fortenberry, MA, ED.S, LPC

• Certified Registered Nurse Anesthetist in Greenville, SC
• Providers in Greenville, SC by specialty
• Certified Registered Nurse Anesthetist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.