Individual provider Active NPI

Charles Eddy Seacrist III, RN

  • Certified Registered Nurse Anesthetist
  • Chardon, OH
National Provider Identifier
1619669488
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
00208882 Issued in OH
Practice address
150 7TH Ave
Chardon, OH 44024-2908
Phone
(440) 285-2900
NPI assigned
May 22, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 430272 OH
Certified Registered Nurse Anesthetist 367500000X 00208882 OH Primary

Addresses

Primary practice location

150 7TH Ave
Chardon, OH 44024-2908

Mailing address

38401 Mentor Ave Unit 7303
Willoughby, OH 44094-8760
Phone (440) 221-6634

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230919000843 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 0446614812 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Safe Anesthesia Chardon LLCGroup PAC ID 0547456386, 20 clinicians
Safe Anesthesia Geneva LLCGroup PAC ID 4385771997, 34 clinicians

Practice addresses (Care Compare)

150 7TH Ave
Chardon, OH 44024-2908
Phone (440) 285-2900

870 W Main St
Geneva, OH 44041-1219
Phone (440) 466-1141

Hospital & facility affiliations

  • Uhhs Memorial Hospital of Geneva Hospital, Geneva, OH, CCN 361307

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
430272OHMDCritical Care Medicine Registered Nurse
00208882OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Safe Anesthesia Geneva LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 7, 2024 Accepting new patients
Uh North Ridgeville Endoscopy Center LLC CurrentSince Feb 19, 2025 Accepting new patients
Safe Anesthesia Chardon LLC Nurse Anesthetist, Certified Registered CurrentSince May 13, 2024 Accepting new patients
University Primary Care Practices Inc CurrentSince Oct 1, 2023 Accepting new patients
University Primary Care Practices Inc CurrentSince Oct 1, 2023 Accepting new patients
University Hospitals Medical Group Inc CurrentSince Oct 1, 2023 Accepting new patients
University Primary Care Practices Inc Current Accepting new patients

Locations

150 7th Ave
Chardon, OH 44024
Phone (440) 285-2900

11100 Euclid Ave
Fl 6
Cleveland, OH 44106
Phone (216) 844-2172

11100 Euclid Ave
Cleveland Heights, OH 44106

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

870 W Main St
Geneva, OH 44041
Phone (440) 415-0258

32800 Lorain Rd
Ste 2400
North Ridgeville, OH 44039
Phone (440) 406-5562

Interoperability endpoints

  • Direct secure messaging: cseacrist392000@ehrdirect.uhhospitals.org

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.

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": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1619669488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38401 MENTOR AVE UNIT 7303",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440948760",
            "telephone_number": "440-221-6634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 7TH AVE",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440242908",
            "telephone_number": "440-285-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEACRIST",
        "first_name": "CHARLES",
        "middle_name": "EDDY",
        "name_suffix": "III",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "OH",
            "license": "430272",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "00208882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chardon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.

Verify at the official NPI Registry.