Individual provider Active NPI

Vincent McCormick, CRNA

  • Certified Registered Nurse Anesthetist
  • Nashua, NH
National Provider Identifier
1598199812
Registry record updated Aug 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
068142-23 Issued in NH
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, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2013

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 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

Enrollment IDStateProvider typePAC IDDetails
I20180820000358 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1254567498 Reassigns benefits to 3 organizations

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
Goodwin and Snyder Anesthesia Associates PLLCGroup PAC ID 3577833466, 4 clinicians

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 100Reported as individual
Quality
17.87
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
068142-23NHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Goodwin & Snyder Anesthesia Associates, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2021 Accepting new patients
Lifelinc Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 20, 2018 Accepting new patients
Hampton Roads Gastroenterology, P.C. CurrentSince Jul 1, 2019 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

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.