Individual provider Active NPI

Cierra Brooke Treadway, CRNA

  • Certified Registered Nurse Anesthetist
  • Beckley, WV
National Provider Identifier
1487213245
Registry record updated Jun 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
103617 Issued in WV
Practice address
1710 Harper Rd
Beckley, WV 25801-3357
Phone
(304) 256-4100
NPI assigned
Jun 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2019

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 103617 WV Primary

Addresses

Primary practice location

1710 Harper Rd
Beckley, WV 25801-3357

Mailing address

PO Box 2295
Asheville, NC 28802-2295
Phone (828) 398-5244

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190724002255 WV Practitioner - Certified Registered Nurse Anesthetist (Crna) 2769718055 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Braxton County Memorial HospitalGroup PAC ID 5193717759, 46 clinicians
Medstream Anesthesia PLLCGroup PAC ID 7416198049, 571 clinicians
West Virginia Health Care Cooperative IncGroup PAC ID 9830431030, shared by 3 NPIs, 61 clinicians

Practice addresses (Care Compare)

100 Hoylman Dr
Gassaway, WV 26624-9318
Phone (304) 364-5156

1710 Harper Rd
Beckley, WV 25801-3357
Phone (304) 256-4100

400 Fairview Heighs Rd
Summersville, WV 26651-9308
Phone (304) 872-8402

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
103617WVMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia Health Care Cooperative Inc CurrentSince Oct 1, 2020 Accepting new patients
Braxton County Memorial Hospital CurrentSince Sep 16, 2020 Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Jun 21, 2019 Accepting new patients
Braxton County Memorial Hospital CurrentSince Sep 16, 2020 Accepting new patients
West Virginia Health Care Cooperative Inc Current Accepting new patients

Locations

1710 Harper Rd
Beckley, WV 25801
Phone (304) 252-0641

100 Hoylman Dr
Gassaway, WV 26624
Phone (304) 364-1046

430 Main St W
Oak Hill, WV 25901
Phone (276) 325-0678

400 Fairview Heights Rd
Summersville, WV 26651
Phone (304) 872-2891

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1559779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559779200000",
    "number": "1487213245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2295",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288022295",
            "telephone_number": "828-398-5244",
            "fax_number": "828-360-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 HARPER RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013357",
            "telephone_number": "304-256-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREADWAY",
        "first_name": "CIERRA",
        "middle_name": "BROOKE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-06",
        "last_updated": "2019-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WV",
            "license": "103617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; 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.