Individual provider Active NPI

Miranda Elizabeth Marsh

  • Certified Registered Nurse Anesthetist
  • Knoxville, TN
National Provider Identifier
1700212313
Registry record updated Jul 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
92706 Issued in TN
Practice address
1924 Alcoa Hwy # U109
Knoxville, TN 37920-1511
Phone
(865) 305-9220
NPI assigned
Sep 16, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 92706 TN Primary

Addresses

Primary practice location

1924 Alcoa Hwy # U109
Knoxville, TN 37920-1511

Mailing address

50 Schenck Pkwy
Asheville, NC 28803-3499
Phone (828) 681-1527

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, NC, TX, AK4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20131114001517 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 6002042306 Reassigns benefits to 1 organization
I20160506001802 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 6002042306 Reassigns benefits to 1 organization
I20180608000610 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 6002042306 Reassigns benefits to 1 organization
I20191212002468 AK Practitioner - Certified Registered Nurse Anesthetist (Crna) 6002042306 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
70.59 of 100Reported as group
Quality
83.37
Promoting interoperability
100
Improvement activities
40
Cost
16.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
92706TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Community Anesthesiology Specialists LLC CurrentSince Jun 20, 2016 Accepting new patients
South Peninsula Hospital, Inc CurrentSince Aug 24, 2019 Accepting new patients
Alaska Native Tribal Health Consortium CurrentSince May 8, 2018 Accepting new patients
Mission Health Community Multispecialty Providers, LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 20, 2016 Accepting new patients
South Peninsula Hospital, Inc CurrentSince Aug 24, 2019 Accepting new patients
South Peninsula Hospital, Inc. CurrentSince Sep 14, 2019 Accepting new patients
University Anesthesiologists, PLLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2013 Accepting new patients
University Anesthesiologists, PLLC Past Accepting new patients

Locations

4000 Ambassador Dr
Anchorage, AK 99508
Phone (907) 729-1900

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

4300 Bartlett St
Homer, AK 99603
Phone (907) 235-0369

509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325

34 Granby St
Asheville, NC 28801
Phone (828) 225-0861

1924 Alcoa Hwy
#U109
Knoxville, TN 37920
Phone (865) 305-9220

1924 Alcoa Hwy
Knoxville, TN 37920
Phone (865) 305-9000

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/sphosp-0c203fcf

Organizations & group practices 8

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": "1379289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468886400000",
    "number": "1700212313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 SCHENCK PKWY",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288033499",
            "telephone_number": "828-681-1527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 ALCOA HWY # U109",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201511",
            "telephone_number": "865-305-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSH",
        "first_name": "MIRANDA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-16",
        "last_updated": "2016-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "92706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; 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.