Active NPI
David M Gagne, CRNA
- Certified Registered Nurse Anesthetist
- Westwood, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 252638
- Practice address
- 690 Canton Street
Suite 325
Westwood, MA 02090-2329 - Phone
- (781) 407-7713
- Fax
- (781) 407-0998
- NPI assigned
- May 22, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 057588-21 | NH | |
| Certified Registered Nurse Anesthetist | 367500000X | 057588-23 | NH | |
| Certified Registered Nurse Anesthetist | 367500000X | 252638 | MA | Primary |
Addresses
Primary practice location
690 Canton Street
Suite 325
Westwood, MA 02090-2329
Mailing address
690 Canton Street
Suite 325
Westwood, MA 02090-2329
Phone (781) 407-7713
Other practice location 1
3073 White Mountain Hwy
North Conway, NH 03860-7101
Phone (666) 666-6666
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Elliot Way
Manchester, NH 03103-3502
Phone (603) 663-2431
Hospital & facility affiliations
- Elliot Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 057588-21 | NH | MD | Registered Nurse |
| 057588-23 | NH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North American Partners in Anesthesia New Hampshire LLP | Current | Accepting new patients | |
| Amoskeag Anesthesia, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Portsmouth Anesthesia Associates PA | Current | Accepting new patients | |
| Anesthesia Care Group PC | Current | Accepting new patients | |
| Granite State Anesthesia Partners, LLC | Current | Accepting new patients | |
| Concord Hospital-Franklin | Current | Accepting new patients | |
| Lrghealthcare | Current | Accepting new patients |
Locations
4 Hawthorne Dr
Bedford, NH 03110
Phone (603) 472-8888
15 Aiken Ave
Franklin, NH 03235
Phone (603) 934-2060
80 Highland St
Laconia, NH 03246
Phone (603) 527-7100
88 McGregor St
Ste 303
Manchester, NH 03102
Phone (603) 647-9325
100 McGregor St
Manchester, NH 03102
Phone (603) 663-6931
1 Elliot Way
Manchester, NH 03103
Phone (603) 663-2271
8 Prospect St
Nashua, NH 03060
Phone (603) 281-9275
3073 White Mountain Hwy
North Conway, NH 03860
Phone (603) 356-5472
333 Bothwick Ave
Portsmouth, NH 03801
Phone (603) 433-4907
11 Whitehall Rd
Rochester, NH 03867
Phone (603) 330-7905
Organizations & group practices 7
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.
-
- Anesthesiology Physician
- Manchester, NH
- NPI 1104883511
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Manchester, NH
- NPI 1629074224
-
- Anesthesiology Physician
- Manchester, NH
- NPI 1821815010
-
- Family Medicine Physician
- Laconia, NH
- NPI 1700976032
-
- Anesthesiology Physician
- Nashua, NH
- NPI 1306838701
-
- Anesthesiology Physician
- Portsmouth, NH
- NPI 1568584290
-
- Critical Access Hospital
- Franklin, NH
- NPI 1114005535
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Manchester, NH
- NPI 1902996028
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675641600000",
"number": "1609085638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "690 CANTON STREET",
"address_2": "SUITE 325",
"city": "WESTWOOD",
"state": "MA",
"postal_code": "020902329",
"telephone_number": "781-407-7713",
"fax_number": "781-407-0998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "690 CANTON STREET",
"address_2": "SUITE 325",
"city": "WESTWOOD",
"state": "MA",
"postal_code": "020902329",
"telephone_number": "781-407-7713",
"fax_number": "781-407-0998"
}
],
"practiceLocations": [
{
"address_1": "3073 White Mountain Hwy",
"address_purpose": "LOCATION",
"city": "North Conway",
"state": "NH",
"postal_code": "038607101",
"country_code": "US",
"telephone_number": "666-666-6666",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GAGNE",
"first_name": "DAVID",
"middle_name": "M",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-22",
"last_updated": "2023-02-06",
"certification_date": "2023-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NH",
"license": "057588-21",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NH",
"license": "057588-23",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MA",
"license": "252638",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westwood, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.