Active NPI
Enrique Molina, CRNA
- Certified Registered Nurse Anesthetist
- Pulaski, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APN9953
- Practice address
- 1265 E College St
Pulaski, TN 38478-4541 - Phone
- (615) 620-2320
- Fax
- (615) 620-2323
- NPI assigned
- Oct 27, 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 | APN9953 | TN | Primary |
| Registered Nurse | 163W00000X | RN102000 | TN |
Addresses
Primary practice location
1265 E College St
Pulaski, TN 38478-4541
Mailing address
PO Box 440401
Nashville, TN 37244-0401
Phone (615) 620-2320
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4093506 | Other | TN | BLUE CROSS/BLUE SHIELD OF TN |
| P00308720 | Other | TN | RR MEDICARE |
| 1515279 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, CA
Enrollment records 2
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
Practice addresses (Care Compare)
39700 Bob Hope Dr
Suite 204
Rancho Mirage, CA 92270-7109
Phone (615) 620-2320
500 W Votaw St
Portland, IN 47371-1322
Phone (260) 726-7131
Hospital & facility affiliations
- Indiana University Health Jay, Inc.
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN102000 | TN | MD | Registered Nurse |
| APN9953 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiana University Health Ball Memorial Physicians, Inc. | Current | Accepting new patients | |
| Sda Services of Ca | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Iu Health Medical Group, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesiologists Associated PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Southern Tennessee Anesthesia Associates | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Giles County Anesthesia PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Anesthesiologists Associated PC | Past | Accepting new patients |
Locations
800 E Washington Blvd
Crescent City, CA 95531
Phone (707) 464-8511
11234 Anderson St
Loma Linda, CA 92350
Phone (909) 558-3016
File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300
3762 Tibbetts St
Riverside, CA 92506
Phone (951) 686-2224
3832 Solutions Ctr
Chicago, IL 60677
410 Pilgrim Blvd
Hartford City, IN 47348
Phone (317) 962-4272
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
221 N Celia Ave
Muncie, IN 47303
Phone (765) 747-3141
1200 W White River Blvd
Muncie, IN 47303
Phone (765) 254-4009
1758 W 100 S
Portland, IN 47371
Phone (260) 726-1814
500 W Votaw St
Portland, IN 47371
Phone (260) 726-6515
400 10th St E
Waconia, MN 55387
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
- Rancho Mirage, CA
- NPI 1932571551
IN
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Apple Valley, CA
- NPI 1205009917
-
- Family Medicine Physician
- Muncie, IN
- NPI 1235455544
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Crescent City, CA
- NPI 1417428970
-
- Certified Registered Nurse Anesthetist
- Chattanooga, TN
- NPI 1508133497
CA
-
- Certified Registered Nurse Anesthetist
- Pulaski, TN
- NPI 1295811073
Nurse Anesthetist, Certified Registered
-
- Surgery Physician
- Riverside, CA
- NPI 1013967405
-
- Certified Registered Nurse Anesthetist
- Chattanooga, TN
- NPI 1043278443
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Chattanooga, TN
- NPI 1518923705
-
- Certified Registered Nurse Anesthetist
- Lawrenceburg, TN
- NPI 1033265772
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Portland, IN
- NPI 1801315692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280966400000",
"number": "1497831291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 440401",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372440401",
"telephone_number": "615-620-2320",
"fax_number": "615-620-2323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1265 E COLLEGE ST",
"city": "PULASKI",
"state": "TN",
"postal_code": "384784541",
"telephone_number": "615-620-2320",
"fax_number": "615-620-2323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOLINA",
"first_name": "ENRIQUE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-27",
"last_updated": "2010-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "APN9953",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "RN102000",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD OF TN",
"identifier": "4093506",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00308720",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1515279",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pulaski, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.