Individual provider Active NPI

Nancy Garvin, CRNA

  • Certified Registered Nurse Anesthetist
  • Salem, VA
National Provider Identifier
1467424242
Registry record updated Jan 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0024052029 Issued in VA
Practice address
438 W Main Street
Salem, VA 24153
Phone
(540) 378-5276
Fax
(540) 342-4373
NPI assigned
Feb 6, 2006
Last updated
Jan 14, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024052029 VA
Certified Registered Nurse Anesthetist 367500000X 0024052029 VA Primary
Registered Nurse 163W00000X 0001052029 VA

Addresses

Primary practice location

438 W Main Street
Salem, VA 24153

Mailing address

PO Box 1789
Roanoke, VA 24008
Phone (540) 855-5122

Other identifiers 1

IdentifierTypeStateIssuer
010019249MedicaidVA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051202000131 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7719907989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Virginia Commonwealth University, School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

438 W Main St
Salem, VA 24153-3610
Phone 54037852764606

Merit-based Incentive Payment System (MIPS)

Final score
76.47 of 100Reported as group
Quality
52.93
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0001052029VAMDRegistered Nurse
0024052029VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Roanoke Valley Center for Sight LLC CurrentSince Aug 1, 2008 Accepting new patients
Roanoke Valley Center for Sight, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2008 Accepting new patients
Alta Anesthesia Associates of Georgia, PC Nurse Anesthetist, Certified Registered PastSince Nov 11, 2012 Accepting new patients
Martinsville Anesthesia, PC Past Accepting new patients
Anesthesia Associates of Richmond, Inc Past Accepting new patients

Locations

433 Commonwealth Blvd E
Martinsville, VA 24112
Phone (276) 632-7207

2154 McVitty Rd SW
Ste 101
Roanoke, VA 24018
Phone (540) 378-5276

438 W Main St
Salem, VA 24153
Phone (540) 378-5276

470 Lithia Rd
#2
Wytheville, VA 24382

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263427200000",
    "number": "1467424242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1789",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "24008",
            "telephone_number": "540-855-5122",
            "fax_number": "540-342-4373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 W MAIN STREET",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "24153",
            "telephone_number": "540-378-5276",
            "fax_number": "540-342-4373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARVIN",
        "first_name": "NANCY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-06",
        "last_updated": "2010-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024052029",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024052029",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001052029",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010019249",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; 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.