Individual provider Active NPI

Michelle Lee Patterson, CRNA

  • Certified Registered Nurse Anesthetist
  • Concord Township, OH
National Provider Identifier
1568490688
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN.CRNA.0020352 Issued in OH
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

Updated by the provider on Mar 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0471103MedicaidOH
NAN637MedicaidSC
8051844MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC, OH3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20031217000947 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 5799682613 Reassigns benefits to 2 organizations
I20110217000599 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 5799682613 Reassigns benefits to 1 organization
I20211216002287 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 5799682613 Reassigns benefits to 1 organization

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
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

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

LicenseStateTypeSpecialty
APRN.CRNA.0020352OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Perioperative Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2010 Accepting new patients
CHS Anesthesia Services Group Inc CurrentSince Sep 1, 2017 Accepting new patients
The Cleveland Clinic Foundation Nurse Anesthetist, Certified Registered CurrentSince Feb 9, 2022 Accepting new patients
CHS Anesthesia Services Group Inc PastSince Oct 25, 2020 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.

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.

Verify at the official NPI Registry.