Individual provider Active NPI

Lindsay Renee McCormick

  • Certified Registered Nurse Anesthetist
  • Los Angeles, CA
National Provider Identifier
1467111971
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
95001631 Issued in CA
Practice address
4867 W Sunset Blvd
Los Angeles, CA 90027-5969
Phone
(833) 574-2273
NPI assigned
Dec 12, 2021
Last updated
Mar 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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 95001631 CA Primary

Addresses

Primary practice location

4867 W Sunset Blvd
Los Angeles, CA 90027-5969

Mailing address

2048 E Villa St Apt 2
Pasadena, CA 91107-2355
Phone (316) 648-1793

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, KS, AR3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220506002182 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0042697302 Reassigns benefits to 2 organizations
I20240830002832 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 0042697302 Reassigns benefits to 3 organizations
I20250807001226 AR Practitioner - Certified Registered Nurse Anesthetist (Crna) 0042697302 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas Anesthesia Providers, LLCGroup PAC ID 6305206764, 24 clinicians
Emergenchealth PLLCGroup PAC ID 1355606641, 1,037 clinicians
Renew Medical Group of Arkansas LTDGroup PAC ID 3173056298, 129 clinicians
Anesthesia on Demand - a Professional Nursing CorporationGroup PAC ID 1850780206, 12 clinicians

Practice addresses (Care Compare)

1124 W 21St St
100 Andover Ambulatory Surgery Center
Andover, KS 67002-5500
Phone (316) 440-3200

200 Commodore St
Pratt, KS 67124-2903
Phone (620) 450-1335

6001 SW 6TH Ave
100 Tallgrass Ambulatory Center
Topeka, KS 66615-1011
Phone (918) 225-2915

7301 Rogers Ave
Fort Smith, AR 72903-4100
Phone (479) 314-6000

801 S Chevy Chase Dr
Suite 106
Glendale, CA 91205-4437
Phone (818) 265-2275

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95001631CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia on Demand - a Professional Nursing Corporation Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2022 Accepting new patients
Renew Medical Group of Arkansas LTD Nurse Anesthetist, Certified Registered CurrentSince May 20, 2025 Accepting new patients
Southern California Permanente Medical Group CurrentSince Jan 30, 2022 Accepting new patients
Sound Physicians Anesthesiology of Texas PLLC CurrentSince Aug 1, 2024 Accepting new patients
Southern California Permanente Medical Group CurrentSince Jan 30, 2022 Accepting new patients
Kansas Anesthesia Providers, LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 18, 2024 Accepting new patients
Emergenchealth PLLC Nurse Anesthetist, Certified Registered CurrentSince Apr 21, 2025 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients

Locations

7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600

2710 S Rife Medical Ln
Rogers, AR 72758
Phone (479) 636-0200

801 S Chevy Chase Dr
Ste 106
Glendale, CA 91205
Phone (818) 265-2275

4733 W Sunset Blvd
Los Angeles, CA 90027
Phone (213) 667-4784

4867 W Sunset Blvd
Los Angeles, CA 90027
Phone (323) 783-7920

393 E Walnut St
Unit 3RD
Pasadena, CA 91188
Phone (626) 405-7914

6100 Waterford District Dr
Ste 450
Miami, FL 33126

1124 W 21st St
#100
Andover, KS 67002
Phone (316) 440-3200

1823 College Ave
Manhattan, KS 66502
Phone (785) 539-1704

200 Commodore St
Pratt, KS 67124
Phone (620) 672-6476

6001 SW 6th Ave
Ste 100
Topeka, KS 66615
Phone (785) 272-8807

9300 E 29th St N
Ste 100
Wichita, KS 67226
Phone (316) 634-0404

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

Organizations & group practices 8

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 2

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": "1639267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1467111971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2048 E VILLA ST APT 2",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911072355",
            "telephone_number": "316-648-1793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4867 W SUNSET BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900275969",
            "telephone_number": "833-574-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "LINDSAY",
        "middle_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-12",
        "last_updated": "2022-03-30",
        "certification_date": "2021-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "95001631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "4733 W Sunset Blvd",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900276021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.