Individual provider Active NPI

Melanie R Mosier, CRNA

  • Certified Registered Nurse Anesthetist
  • Morristown, TN
National Provider Identifier
1760477129
Registry record updated Jan 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN0000114317 Issued in TN
Practice address
1027 E Main St
Morristown, TN 37814-6632
Phone
(423) 581-5984
Fax
(423) 581-0984
NPI assigned
Sep 13, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2010

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 RN0000114317 TN Primary

Addresses

Primary practice location

1027 E Main St
Morristown, TN 37814-6632

Mailing address

PO Box 1718
Morristown, TN 37816-1718
Phone (423) 581-5987

Other identifiers 2

IdentifierTypeStateIssuer
3630763MedicaidTN
4101248OtherTNBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050325000623 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 5294781837 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10157TNMDPharmacist
RN0000114317TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 4, 2024 Accepting new patients
Hamblen Anesthesia PC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2005 Accepting new patients
University Anesthesiologists, PLLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2021 Accepting new patients
Knoxville Gastroenterology Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 2, 2024 Accepting new patients
University Anesthesiologists, PLLC Past Accepting new patients

Locations

310 N State of Franklin Rd
Ste 202
Johnson City, TN 37604
Phone (423) 434-3700

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

908 W 4th North St
Morristown, TN 37814
Phone (423) 492-9000

629 Delozier Way
#100
Powell, TN 37849
Phone (865) 622-3442

Organizations & group practices 5

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": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264464000000",
    "number": "1760477129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1718",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378161718",
            "telephone_number": "423-581-5987",
            "fax_number": "423-581-0984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 E MAIN ST",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378146632",
            "telephone_number": "423-581-5984",
            "fax_number": "423-581-0984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSIER",
        "first_name": "MELANIE",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-13",
        "last_updated": "2010-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "RN0000114317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3630763",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4101248",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; 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.