Individual provider Active NPI

Ginger Gates, CRNA

  • Certified Registered Nurse Anesthetist
  • Chattanooga, TN
National Provider Identifier
1669664652
Registry record updated Feb 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APN12890 Issued in TN
Practice address
975 E. Third St
Chattanooga, TN 37403-2147
Phone
(423) 778-7806
Fax
(423) 778-2360
NPI assigned
Aug 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN146750 TN
Registered Nurse 163W00000X RN134570 GA
Certified Registered Nurse Anesthetist 367500000X APN12890 TN Primary

Addresses

Primary practice location

975 E. Third St
Chattanooga, TN 37403-2147

Mailing address

PO Box 11225
Chattanooga, TN 37401-2225
Phone (423) 892-5602

Other identifiers 7

IdentifierTypeStateIssuer
308968198AMedicaidGA
N417117OtherGAWELLCARE (GA MEDICAID)
8053441MedicaidNC
009912932MedicaidAL
3600105MedicaidTN
P00472264OtherTNRAILROAD MEDICARE
4167291OtherTNBLUE CROSS BLUE SHIELD TN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, IN, KY, IL4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20071107000375 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 4385731314 Reassigns benefits to 2 organizations
I20210218001321 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 4385731314 Reassigns benefits to 1 organization
I20221116001329 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 4385731314 Reassigns benefits to 1 organization
I20230313001399 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 4385731314 Reassigns benefits to 1 organization

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
Associated Anesthesiologists SCGroup PAC ID 6305744129, 150 clinicians

Practice addresses (Care Compare)

6742 N Frostwood Pkwy
Peoria, IL 61615-2402
Phone (309) 692-5393

Hospital & facility affiliations

  • Saint Francis Medical Center Hospital, Peoria, IL, CCN 140067

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN134570GAMDRegistered Nurse
RN146750TNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesiology Consultants Exchange, PC Nurse Anesthetist, Certified Registered CurrentSince Oct 18, 2007 Accepting new patients
Capital Anesthesia Solutions of Kentucky LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 3, 2022 Accepting new patients
Associated Anesthesiologists, SC CurrentSince Feb 16, 2023 Accepting new patients
Amsurg Chattanooga Anesthesia LLC CurrentSince Aug 1, 2016 Accepting new patients
Associated Anesthesiologists, S.C. CurrentSince Feb 16, 2023 Accepting new patients
Chattanooga Endoscopy ASC LLC PastSince Aug 1, 2016 Accepting new patients

Locations

6742 N Frostwood Pkwy
Peoria, IL 61615
Phone (309) 692-5393

530neglen Oak Ave
Peoria, IL 61637
Phone (309) 692-5393

301 Langdon St
Somerset, KY 42503
Phone (606) 678-9688

305 Langdon St
Somerset, KY 42503
Phone (606) 451-2994

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

1501 Riverside Dr
Ste 117
Chattanooga, TN 37406
Phone (423) 648-0576

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.

NPI Registry JSON

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266278400000",
    "number": "1669664652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11225",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374012225",
            "telephone_number": "423-892-5602",
            "fax_number": "423-892-5838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 E. THIRD ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032147",
            "telephone_number": "423-778-7806",
            "fax_number": "423-778-2360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATES",
        "first_name": "GINGER",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-14",
        "last_updated": "2010-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "RN146750",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN134570",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "APN12890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "308968198A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE (GA MEDICAID)",
            "identifier": "N417117",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8053441",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009912932",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3600105",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00472264",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TN",
            "identifier": "4167291",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; 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.