Individual provider Active NPI

Corey Allen Macdonald, C.R.N.A.

  • Certified Registered Nurse Anesthetist
  • Concord, NH
National Provider Identifier
1720325491
Registry record updated May 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RNA123058 Issued in ME
Practice address
1 Pillsbury St
Suite 202
Concord, NH 03301-3556
Phone
(603) 224-4776
Fax
(603) 228-2113
NPI assigned
Jan 14, 2013
Last updated
May 11, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2015

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 RNA123058 ME Primary

Addresses

Primary practice location

1 Pillsbury St
Suite 202
Concord, NH 03301-3556

Mailing address

1 Pillsbury St
Suite 202
Concord, NH 03301-3556
Phone (603) 224-4776

Other identifiers 1

IdentifierTypeStateIssuer
3100551MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150501000008 NH Practitioner - Certified Registered Nurse Anesthetist (Crna) 0345485488 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
University of New England, College of Osteo Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Icon Anesthesia Services of New England LLCGroup PAC ID 2668732041, 21 clinicians

Practice addresses (Care Compare)

2 Pillsbury St
Suite 100
Concord, NH 03301-3549
Phone (603) 224-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RNA123058MEMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Collaborative Anesthesia Partners Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2019 Accepting new patients
Apollo Medical Group of Portsmouth PLLC Nurse Anesthetist, Certified Registered CurrentSince Dec 11, 2023 Accepting new patients
Concord Eye Surgery LLC CurrentSince Aug 1, 2025 Accepting new patients
Icon Anesthesia Services of New England LLC CurrentSince Aug 1, 2022 Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 2, 2023 Accepting new patients
Apollo Medical Group of Wentworth PLLC Nurse Anesthetist, Certified Registered CurrentSince Dec 11, 2023 Accepting new patients

Locations

400 10th St E
Waconia, MN 55387

2 Pillsbury St
Ste 100
Concord, NH 03301
Phone (603) 224-2020

246 Pleasant St
Concord, NH 03301
Phone (603) 224-1223

246 Pleasant St
Bldg W
Concord, NH 03301
Phone (603) 224-3388

10 Alice Peck Day Dr
Lebanon, NH 03766
Phone (603) 448-7440

16 Hospital Rd
Plymouth, NH 03264
Phone (603) 238-2229

291 Shattuck Way
Portsmouth, NH 03801
Phone (561) 330-3381

6 Works Way
Somersworth, NH 03878
Phone (603) 285-9273

240 S Main St
Wolfeboro, NH 03894
Phone (603) 515-2093

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431302400000",
    "number": "1720325491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PILLSBURY ST",
            "address_2": "SUITE 202",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033013556",
            "telephone_number": "603-224-4776",
            "fax_number": "603-228-2113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PILLSBURY ST",
            "address_2": "SUITE 202",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033013556",
            "telephone_number": "603-224-4776",
            "fax_number": "603-228-2113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACDONALD",
        "first_name": "COREY",
        "middle_name": "ALLEN",
        "credential": "C.R.N.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-14",
        "last_updated": "2015-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ME",
            "license": "RNA123058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3100551",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; 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.