Active NPI
Zackery Davison, CRNA
- Certified Registered Nurse Anesthetist
- Great Falls, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 238996
- Practice address
- 1101 26TH St S
Great Falls, MT 59405-5161 - Phone
- (406) 731-8888
- Fax
- (406) 731-8318
- NPI assigned
- Jan 19, 2024
- Last updated
- Jun 27, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 35507 | TN | |
| Certified Registered Nurse Anesthetist | 367500000X | 238996 | MT | Primary |
Addresses
Primary practice location
1101 26TH St S
Great Falls, MT 59405-5161
Mailing address
PO Box 6010
Great Falls, MT 59406-6010
Other practice location 1
1 Medical Center Blvd
Cookeville, TN 38501-4294
Phone (931) 528-2541
Other practice location 2
1645 Vandelay Ave Ste 201
Helena, MT 59601-3929
Phone (406) 731-8888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, MT
Enrollment records 2
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
Practice addresses (Care Compare)
1509 29TH St S
Great Falls, MT 59405-5363
Phone (406) 771-3500
3000 15TH Ave S
Great Falls, MT 59405-5240
Phone (406) 454-2171
3010 15TH Ave S
Great Falls, MT 59405-5240
Phone (406) 216-8000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CMSC, LLC | Current | Accepting new patients | |
| Benefis Hospitals Inc | Current | Accepting new patients | |
| Lifelinc Anesthesia II, PLLC | Anesthesiology | Current | Accepting new patients |
| Benefis Hospitals, Inc. | Current | Accepting new patients |
Locations
1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690
1101 26th St S
Fl 5
Great Falls, MT 59405
Phone (406) 455-2132
1401 25th St S
Great Falls, MT 59405
Phone (406) 455-3650
1509 29th St S
Great Falls, MT 59405
Phone (406) 771-3500
3010 15th Ave S
Great Falls, MT 59405
Phone (406) 771-3095
1645 Vandelay Ave
Ste 201
Helena, MT 59601
Phone (406) 389-2505
1 Medical Center Blvd
Cookeville, TN 38501
Phone (931) 783-2334
3340 Players Club Pkwy
Ste 350
Memphis, TN 38125
Phone (901) 207-2017
100 Northcrest Dr
Springfield, TN 37172
Phone (615) 384-1531
Organizations & group practices 4
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.
-
dba Great Falls Clinic Hospital
- General Acute Care Hospital
- Great Falls, MT
- NPI 1639109978
-
dba Benefis Medical Group
- Multi-Specialty Clinic/Center
- Great Falls, MT
- NPI 1780968974
-
- Anesthesiology Physician
- Springfield, TN
- NPI 1821397233
-
- General Acute Care Hospital
- Great Falls, MT
- NPI 1881650737
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Great Falls Clinic Hospital
- General Acute Care Hospital
- Great Falls, MT
- NPI 1639109978
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719446400000",
"number": "1619738333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6010",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594066010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 26TH ST S",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594055161",
"telephone_number": "406-731-8888",
"fax_number": "406-731-8318"
}
],
"practiceLocations": [
{
"address_1": "1 Medical Center Blvd",
"address_purpose": "LOCATION",
"city": "Cookeville",
"state": "TN",
"postal_code": "385014294",
"country_code": "US",
"telephone_number": "931-528-2541",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1645 Vandelay Ave Ste 201",
"address_purpose": "LOCATION",
"city": "Helena",
"state": "MT",
"postal_code": "596013929",
"country_code": "US",
"telephone_number": "406-731-8888",
"fax_number": "406-731-8318",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVISON",
"first_name": "ZACKERY",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-01-19",
"last_updated": "2024-06-27",
"certification_date": "2024-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "35507",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MT",
"license": "238996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Great Falls, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.