Active NPI
Vincent McCormick, CRNA
- Certified Registered Nurse Anesthetist
- Nashua, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 068142-23
- Practice address
- 168 Kinsley St
Suite 4
Nashua, NH 03060-3634 - Phone
- (603) 882-1501
- Fax
- (603) 882-9747
- NPI assigned
- Aug 22, 2013
- Last updated
- Aug 22, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 068142-23 | NH | Primary |
Addresses
Primary practice location
168 Kinsley St
Suite 4
Nashua, NH 03060-3634
Mailing address
168 Kinsley St
Suite 4
Nashua, NH 03060-3634
Phone (603) 882-1501
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- JC Edwards School of Medicine, Marshall University, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5215 Monticello Ave
Williamsburg, VA 23188-8232
Phone (757) 229-4000
Merit-based Incentive Payment System (MIPS)
- Final score
- 30.19 of 100
- Quality
- 17.87
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 068142-23 | NH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Goodwin & Snyder Anesthesia Associates, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Lifelinc Anesthesia, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Hampton Roads Gastroenterology, P.C. | Current | Accepting new patients |
Locations
400 10th St E
Waconia, MN 55387
3340 Players Club Pkwy
Ste 350
Memphis, TN 38125
Phone (901) 207-2017
303 Butler Farm Rd
Ste 103
Hampton, VA 23666
Phone (757) 826-3434
501 Medical Dr
Hampton, VA 23666
Phone (757) 826-3434
241 Corporate Blvd
Norfolk, VA 23502
Phone (757) 362-3577
5215 Monticello Ave
Williamsburg, VA 23188
Phone (757) 229-4000
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- vincent.mccormick.p1@direct.hrgastro.nextgenshare.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Certified Registered Nurse Anesthetist
- Williamsburg, VA
- NPI 1508391129
Nurse Anesthetist, Certified Registered
-
- Gastroenterology Physician
- Hampton, VA
- NPI 1871684563
-
- Anesthesiology Physician
- Memphis, TN
- NPI 1801021464
Nurse Anesthetist, Certified Registered, VA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377129600000",
"number": "1598199812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "168 KINSLEY ST",
"address_2": "SUITE 4",
"city": "NASHUA",
"state": "NH",
"postal_code": "030603634",
"telephone_number": "603-882-1501",
"fax_number": "603-882-9747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "168 KINSLEY ST",
"address_2": "SUITE 4",
"city": "NASHUA",
"state": "NH",
"postal_code": "030603634",
"telephone_number": "603-882-1501",
"fax_number": "603-882-9747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCORMICK",
"first_name": "VINCENT",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-22",
"last_updated": "2013-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NH",
"license": "068142-23",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nashua, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; 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.