Active NPI
Bridgetine Ann Mulcahy, RN
- Certified Registered Nurse Anesthetist
- Morrow, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 190655
- Practice address
- 1241 Shawhan Rd
Morrow, OH 45152-9695 - Phone
- (513) 865-5204
- NPI assigned
- Dec 25, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 190655 | OH | Primary |
Addresses
Primary practice location
1241 Shawhan Rd
Morrow, OH 45152-9695
Mailing address
PO Box 632572
Cincinnati, OH 45263-2572
Phone (513) 865-5204
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130306000320 | OH | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 0345495875 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3535 Southern Blvd
Kettering, OH 45429-1221
Phone (937) 298-4331
Hospital & facility affiliations
- Kettering Health Miamisburg
- Kettering Health Main Campus
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 190655 | OH | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesiology Services Network LTD | Current | Accepting new patients | |
| Sandusky Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Group Practice, Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
600 N Pickaway St
Circleville, OH 43113
Phone (614) 352-6479
1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636
3535 Southern Blvd
Kettering, OH 45429
Phone (937) 298-1221
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 and National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Circleville, OH
- NPI 1770907859
Nurse Anesthetist, Certified Registered, OH
-
- Anesthesiology Physician
- Montgomery, OH
- NPI 1417951948
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 2
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": "1356393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372377600000",
"number": "1659617454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 632572",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452632572",
"telephone_number": "513-865-5204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1241 SHAWHAN RD",
"city": "MORROW",
"state": "OH",
"postal_code": "451529695",
"telephone_number": "513-865-5204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULCAHY",
"first_name": "BRIDGETINE",
"middle_name": "ANN",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-25",
"last_updated": "2013-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "190655",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morrow, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.