Active NPI
Michelle Lee Patterson, CRNA
- Certified Registered Nurse Anesthetist
- Concord Township, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APRN.CRNA.0020352
- Practice address
- 9614 Old Johnnycake Ridge Rd
Concord Township, OH 44060-6521 - Phone
- (440) 205-1225
- NPI assigned
- Jun 29, 2006
- Sex
- Female
- 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 | 4137A | SC | |
| Certified Registered Nurse Anesthetist | 367500000X | APRN.CRNA.0020352 | OH | Primary |
Addresses
Primary practice location
9614 Old Johnnycake Ridge Rd
Concord Township, OH 44060-6521
Mailing address
8419 Ravenna Rd
Twinsburg, OH 44087-2422
Phone (704) 287-2902
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0471103 | Medicaid | OH | |
| NAN637 | Medicaid | SC | |
| 8051844 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC, OH
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- University of Toledo College of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-6116
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CRNA.0020352 | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perioperative Services, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| CHS Anesthesia Services Group Inc | Current | Accepting new patients | |
| The Cleveland Clinic Foundation | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| CHS Anesthesia Services Group Inc | Past | Accepting new patients |
Locations
1822 Brunswick Ave
Charlotte, NC 28207
Phone (704) 342-4323
10628 Park Rd
Charlotte, NC 28210
Phone (704) 543-2000
433 McAlister Rd
Lincolnton, NC 28092
Phone (704) 512-7000
201 E Grover St
Shelby, NC 28150
Phone (704) 487-3000
9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270
9485 Mentor Ave
Mentor on Lk, OH 44060
Phone (440) 205-5755
6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363
118 Professional Park Dr
Rock Hill, SC 29732
Phone (803) 329-3124
4100 International Plz
Ste 800
Ft Worth, TX 76109
Phone (855) 373-6862
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Charlotte, NC
- NPI 1023323128
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Rock Hill, SC
- NPI 1649879644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646179200000",
"number": "1568490688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8419 RAVENNA RD",
"city": "TWINSBURG",
"state": "OH",
"postal_code": "440872422",
"telephone_number": "704-287-2902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9614 OLD JOHNNYCAKE RIDGE RD",
"city": "CONCORD TOWNSHIP",
"state": "OH",
"postal_code": "440606521",
"telephone_number": "440-205-1225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "MICHELLE",
"middle_name": "LEE",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-29",
"last_updated": "2022-03-02",
"certification_date": "2022-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "4137A",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "APRN.CRNA.0020352",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0471103",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NAN637",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8051844",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Concord Township, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.