Individual provider Active NPI

Melvin Lee Atchison, CRNA

  • Certified Registered Nurse Anesthetist
  • Napa, CA
National Provider Identifier
1750331344
Registry record updated Jan 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN419471 Issued in CA
Practice address
1000 Trancas St
Queen of the Vally Hospital
Napa, CA 94558
Phone
(707) 226-2901
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN419471 CA Primary
Certified Registered Nurse Anesthetist 367500000X NA1156 CA

Addresses

Primary practice location

1000 Trancas St
Queen of the Vally Hospital
Napa, CA 94558

Mailing address

PO Box 6139,
Napa, CA 94581
Phone (888) 270-0340

Other identifiers 1

IdentifierTypeStateIssuer
RN4194710MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040324001211 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5799676912 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NA1156CAMDCertified Registered Nurse Anesthetist
RN419471CAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
M. Atchison Crna Inc, a Professional Nursing Corp. Nurse Anesthetist, Certified Registered CurrentSince Dec 19, 2000 Accepting new patients
Sutter Creek OB Anesthesia Services, a Professional Nursing Corporatio Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

1000 Trancas St
Napa, CA 94558
Phone (707) 226-2901

7500 Hospital Dr
Sacramento, CA 95823
Phone (916) 423-3000

Organizations & group practices 2

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232928000000",
    "number": "1750331344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6139,",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "94581",
            "telephone_number": "888-270-0340",
            "fax_number": "888-270-0331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 TRANCAS ST",
            "address_2": "QUEEN OF THE VALLY HOSPITAL",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "94558",
            "telephone_number": "707-226-2901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATCHISON",
        "first_name": "MELVIN",
        "middle_name": "LEE",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2009-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "RN419471",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "NA1156",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RN4194710",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Napa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.