Individual provider Active NPI

James Howard Mackey III, CRNA

  • Certified Registered Nurse Anesthetist
  • Ellsworth, ME
National Provider Identifier
1598068520
Registry record updated Oct 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R138984 Issued in MD
Practice address
50 Union St
Ellsworth, ME 04605-1534
Phone
(207) 664-5311
Fax
(207) 664-5305
NPI assigned
Dec 14, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2017

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 R138984 MD Primary

Addresses

Primary practice location

50 Union St
Ellsworth, ME 04605-1534

Mailing address

610 Baltimore St
Pobox 329
Charlestown, MD 21914-1103
Phone (410) 287-9616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, NH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130206000057 VT Practitioner - Certified Registered Nurse Anesthetist (Crna) 7618150483 Reassigns benefits to 1 organization
I20160421001033 NH Practitioner - Certified Registered Nurse Anesthetist (Crna) 7618150483 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Weeks Medical CenterGroup PAC ID 2769461284, 71 clinicians

Practice addresses (Care Compare)

173 Middle St
Lancaster, NH 03584-3508
Phone (603) 788-4911

Hospital & facility affiliations

  • Weeks Medical Center Hospital, Lancaster, NH, CCN 301303

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Weeks Medical Center CurrentSince Feb 29, 2016 Accepting new patients
Upper Connecticut Valley Hospital Association CurrentSince Aug 27, 2020 Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Feb 26, 2021 Accepting new patients
Anesthesia Care Group PC CurrentSince Nov 14, 2016 Accepting new patients
Androscoggin Valley Hospital Inc CurrentSince Aug 27, 2020 Accepting new patients
Amoskeag Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Sep 14, 2020 Accepting new patients
Androscoggin Valley Hospital, Inc. CurrentSince Aug 27, 2020 Accepting new patients
North American Partners in Anesthesia New Hampshire LLP CurrentSince Dec 1, 2016 Accepting new patients
Androscoggin Valley Hospital, Inc. CurrentSince Aug 27, 2020 Accepting new patients
Weeks Medical Center CurrentSince Feb 29, 2016 Accepting new patients
Northern Chesapeake Anesthesia Associates Past Accepting new patients

Locations

59 Page Hill Rd
Berlin, NH 03570
Phone (603) 752-2200

7 Page Hill Rd
Berlin, NH 03570
Phone (603) 326-5827

181 Corliss Ln
Colebrook, NH 03576
Phone (603) 237-8652

173 Middle St
Lancaster, NH 03584
Phone (603) 788-4911

88 McGregor St
Ste 303
Manchester, NH 03102
Phone (603) 647-9325

1 Elliot Way
Ste 200
Manchester, NH 03103
Phone (603) 623-4640

1 Elliot Way
Manchester, NH 03103
Phone (603) 663-2271

11 Whitehall Rd
Rochester, NH 03867
Phone (603) 330-7905

17 Belmont Ave
Brattleboro, VT 05301
Phone (802) 257-8360

289 County Rd
Windsor, VT 05089
Phone (802) 674-7220

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 1

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": "1292284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508889600000",
    "number": "1598068520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 BALTIMORE ST",
            "address_2": "POBOX 329",
            "city": "CHARLESTOWN",
            "state": "MD",
            "postal_code": "219141103",
            "telephone_number": "410-287-9616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 UNION ST",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046051534",
            "telephone_number": "207-664-5311",
            "fax_number": "207-664-5305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKEY",
        "first_name": "JAMES",
        "middle_name": "HOWARD",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-14",
        "last_updated": "2017-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "R138984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellsworth, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2017; 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.