Ivan McKinney

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

1-164253 Issued in AL

Practice address

727 Valemont Dr
Gadsden, AL 35901-6240

Phone

(256) 393-6543

NPI assigned

Aug 31, 2021

Last updated

Jul 18, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anesthesia AssociatesGroup PAC ID 3476570870, 60 clinicians

Blue Lake Health Alabama, LLCGroup PAC ID 8325415375, 39 clinicians

Fort Payne Anesthesia Services LLCGroup PAC ID 5496268559, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northeast Alabama Regional Medical Center Hospital, Anniston, AL, CCN 010078

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Anesthesia Associates

  • Anesthesiology Physician
  • Gadsden, AL
  • NPI 1821013905
  Medicare reassignment Care Compare group NPD
• Blue Lake Health Alabama, LLC

  • Anesthesiology Physician
  • Florence, AL
  • NPI 1376266726
  Medicare reassignment Care Compare group NPD
• Fort Payne Anesthesia Services LLC

  • Certified Registered Nurse Anesthetist
  • Fort Payne, AL
  • NPI 1669263976

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Huntsville Hospital Anesthesia

  • Certified Registered Nurse Anesthetist
  • Huntsville, AL
  • NPI 1851321079

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The Health Care Authority of the City of Anniston

  dba Northeast Alabama Regional Medical Center

  • General Acute Care Hospital
  • Anniston, AL
  • NPI 1003996000
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1659049062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 VALEMONT DR",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359016240",
            "telephone_number": "256-393-6543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 VALEMONT DR",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359016240",
            "telephone_number": "256-393-6543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "IVAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-31",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-164253",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara McGahee, NP
• Deangela Erin McGee
• McGuffey Healthcare L.L.C
• Bryan Wilson McGwier, MD
• Soraya Lynne McHenry, ED.S, LPC
• Hallie H. McKnight, CRNP
• Brittany L McPike, RBT
• MCT, Inc. (Physicians Home Health SuperStore)
• MDC Holding Enterprise (Family Care on Forrest Avenue)
• Medical Billing Express, Inc.

• Certified Registered Nurse Anesthetist in Gadsden, AL
• Providers in Gadsden, AL by specialty
• Certified Registered Nurse Anesthetist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.

Verify at the official NPI Registry.