Active NPI
Erik Carawan Cline, CRNA
- Certified Registered Nurse Anesthetist
- Bangor, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RNA83401
- Practice address
- 489 State St
Bangor, ME 04401-6616 - Phone
- (207) 973-4519
- NPI assigned
- Dec 17, 2005
- Last updated
- Feb 3, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RNA83401 | ME | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | RN R053637 | ME | |
| Certified Registered Nurse Anesthetist | 367500000X | RN 2860722 | FL |
Addresses
Primary practice location
489 State St
Bangor, ME 04401-6616
Mailing address
PO Box 404
Bangor, ME 04402-0404
Phone (207) 973-4519
Other practice location 1
360 Broadway
Bangor, ME 04401-3979
Phone (207) 907-1430
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000098605 | Other | ME | MEDICARE P-TAN FOR BHMH |
| 200051 | Other | ME | MED B - BHMH |
| 00098601 | Other | ME | FOR EMMC |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ecline@mayohospital.cernerdirect.com | Direct | |
| Direct Messaging Address | ecline897686@direct-prd.goodhelpconnections.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
360 Broadway
Bangor, ME 04401-3979
Phone (207) 907-1617
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.58 of 100
- Quality
- 83.17
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN 2860722 | FL | MD | Certified Registered Nurse Anesthetist |
| RN R053637 | ME | MD | Certified Registered Nurse Anesthetist |
| RNA83401 | ME | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Joseph Hospital | Current | Accepting new patients | |
| The Blue Hill Memorial Hospital | Past | Accepting new patients | |
| Norumbega Medical Specialists, LTD | Past | Accepting new patients |
Locations
360 Broadway
#L
Bangor, ME 04401
Phone (207) 262-1703
360 Broadway
Bangor, ME 04401
Phone (207) 262-1703
Interoperability endpoints
- ecline@mayohospital.cernerdirect.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Bangor, ME
- NPI 1154321545
-
- Health Service Clinic/Center
- Brewer, ME
- NPI 1780821140
-
dba Northern Light Blue Hill Hospital
- Critical Access Hospital
- Blue Hill, ME
- NPI 1023057809
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bangor, ME
- NPI 1154321545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643846400000",
"number": "1699751016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 404",
"city": "BANGOR",
"state": "ME",
"postal_code": "044020404",
"telephone_number": "207-973-4519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "489 STATE ST",
"city": "BANGOR",
"state": "ME",
"postal_code": "044016616",
"telephone_number": "207-973-4519"
}
],
"practiceLocations": [
{
"address_1": "360 Broadway",
"address_purpose": "LOCATION",
"city": "Bangor",
"state": "ME",
"postal_code": "044013979",
"country_code": "US",
"telephone_number": "207-907-1430",
"fax_number": "207-907-3508",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLINE",
"first_name": "ERIK",
"middle_name": "CARAWAN",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-17",
"last_updated": "2022-02-03",
"certification_date": "2022-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ME",
"license": "RNA83401",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ME",
"license": "RN R053637",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "RN 2860722",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE P-TAN FOR BHMH",
"identifier": "000098605",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MED B - BHMH",
"identifier": "200051",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FOR EMMC",
"identifier": "00098601",
"state": "ME"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ecline@mayohospital.cernerdirect.com",
"affiliation": "N",
"endpointDescription": "Northern Light Mayo Hospital Cerner Direct Messaging",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "897 W Main St",
"city": "Dover Foxcroft",
"state": "ME",
"country_code": "US",
"postal_code": "044261029",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ecline897686@direct-prd.goodhelpconnections.org",
"affiliation": "N",
"address_1": "360 Broadway",
"city": "Bangor",
"state": "ME",
"country_code": "US",
"postal_code": "044013979",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; 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.