Active NPI
Courtney Anne Masimore, CRNA
- Certified Registered Nurse Anesthetist
- Richmond, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- PROVISIONAL
- Practice address
- 1602 Skipwith Rd
Richmond, VA 23229-5205 - Phone
- (804) 289-4937
- NPI assigned
- Feb 12, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | PROVISIONAL | VA | Primary |
Addresses
Primary practice location
1602 Skipwith Rd
Richmond, VA 23229-5205
Mailing address
PO Box 17978
Richmond, VA 23226-7978
Phone (804) 288-4453
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9101 Stony Point Dr
Richmond, VA 23235-1979
Phone (804) 330-9105
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.01 of 100
- Quality
- 47.65
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.7
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Anesthesiology of Virginia, PC | Current | Accepting new patients | |
| American Anesthesiology of Virginia PC | Current | Accepting new patients | |
| Virginia Urology Center | Current | Accepting new patients | |
| Virginia Urology Center, P.C. | Current | Accepting new patients | |
| Advanced Ambulatory Anesthesia, Inc | Past | Accepting new patients |
Locations
19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950
7640 E Parham Rd
Richmond, VA 23294
Phone (804) 285-4763
9101 Stony Point Dr
Richmond, VA 23235
1602 Skipwith Rd
Richmond, VA 23229
Phone (804) 289-4500
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.
-
- Urology Physician
- Richmond, VA
- NPI 1164485876
-
- Anesthesiology Physician
- Falls Church, VA
- NPI 1417994872
-
- Anesthesiology Physician
- Leesburg, VA
- NPI 1053675199
-
- Durable Medical Equipment & Medical Supplies
- Richmond, VA
- NPI 1184979833
-
- Anesthesiology Physician
- Richmond, VA
- NPI 1770526022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202774400000",
"number": "1780852871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 17978",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232267978",
"telephone_number": "804-288-4453",
"fax_number": "804-288-1621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1602 SKIPWITH RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232295205",
"telephone_number": "804-289-4937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASIMORE",
"first_name": "COURTNEY",
"middle_name": "ANNE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-12",
"last_updated": "2008-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "PROVISIONAL",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; 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.