David Christopher Atchley, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Yukon, OK
NPI 1720076201 · NPPES record last updated Jul 13, 2017
Key facts
- NPI
- 1720076201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- R0073011 (OK)
- Practice address
- 1201 Health Center Pkwy
Yukon, OK 73099-6381 - Phone
- (405) 717-6800
- Fax
- (405) 717-7964
- NPI assigned
- Oct 10, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cherokee Nation
Practice addresses (Care Compare)
100 S Bliss Ave
Tahlequah, OK 74464-2512
Phone (918) 458-3100
Hospital & facility affiliations
- Cherokee Nation W W Hastings Indian Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.4 of 100
- Quality
- 72.78
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 76.77
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OK, TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050615000407 | OK | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 8527009554 | Reassigns benefits to 1 organization |
| I20191021000013 | TX | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 8527009554 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0073011 | OK | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Associates of Grand Lake | Current |
Accepting new patients | |
| Cherokee Nation | Current |
Accepting new patients | |
| Cherokee Nation | Current |
Accepting new patients | |
| Anesthesia Medical Professionals, PLLC | Current |
Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Canadian Valley Anesthesia Services | Past | Accepting new patients | |
| Southcrest Anesthesia Group LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
4801 Integris Pkwy
Edmond, OK 73034
Phone (405) 657-3000
859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271
1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201
1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192
4401 S Western Ave
Oklahoma City, OK 73109
Phone (405) 636-7000
900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500
100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100
Dept 2269
Tulsa, OK 74182
27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800
1201 Health Center Pkwy
#I
Yukon, OK 73099
Phone (405) 717-6800
1201 Health Center Pkwy
Yukon, OK 73099
Phone (405) 717-6800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R0073011 | OK | Yes |
Addresses
Primary practice location
1201 Health Center Pkwy
Yukon, OK 73099-6381
Mailing address
5300 N Independence Ave
Suite 280
Oklahoma City, OK 73112-5556
Phone (405) 717-6800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200048900A | Medicaid | OK |
Other providers in Yukon, OK
- Afaf Asal
- Ascend Counseling and Consultation Services, PLLC
- Ashley Duea LLC
- Assistance at Home, Inc.
- Associated Counseling Services, Inc.
- Kristin Atchley
- Moreen Atwine
- Annie Aubrey
- Fiorella Avant
- Kristopher R Avant
All providers in Yukon, OK · Certified Registered Nurse Anesthetist in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.