Individual provider Active NPI

Sara Micah Eddleman

  • Certified Registered Nurse Anesthetist
  • Memphis, TN
National Provider Identifier
1790305852
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
27765 Issued in TN
Practice address
848 Adams Ave
Memphis, TN 38103-2816
Phone
(866) 870-5570
NPI assigned
Apr 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 27765 TN Primary
Registered Nurse 163W00000X 899452 MS
Certified Registered Nurse Anesthetist 367500000X 974810-01 NY

Addresses

Primary practice location

848 Adams Ave
Memphis, TN 38103-2816

Mailing address

1593 McKenas Way CV
Hernando, MS 38632-2203

Other practice location 1

818 Ellicott St
Buffalo, NY 14203-1021
Phone (716) 632-1088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, ME, NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20201111001165 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 6901216514 Reassigns benefits to 3 organizations
I20230612000925 ME Practitioner - Certified Registered Nurse Anesthetist (Crna) 6901216514 Reassigns benefits to 1 organization
I20250730001453 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 6901216514 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Maine Medical CenterGroup PAC ID 2062315161, 659 clinicians

Practice addresses (Care Compare)

489 State St
Bangor, ME 04401-6616
Phone (207) 973-7000

Merit-based Incentive Payment System (MIPS)

Final score
84.1 of 100Reported as group
Quality
64.8
Promoting interoperability
96
Improvement activities
40
Cost
68.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
899452MSMDRegistered Nurse
974810-01NYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Anesthesiologists P a Nurse Anesthetist, Certified Registered CurrentSince Aug 10, 2020 Accepting new patients
Lifelinc Anesthesia II, PLLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2023 Accepting new patients
Eastern Maine Medical Center CurrentSince Jul 30, 2023 Accepting new patients
Eastern Maine Medical Center CurrentSince Jul 30, 2023 Accepting new patients
Maple Gate Anesthesiologists, P.C. CurrentSince May 24, 2025 Accepting new patients

Locations

489 State St
Bangor, ME 04401
Phone (207) 973-8837

43 Whiting Hill Rd
Ste 250
Brewer, ME 04412

818 Ellicott St
Buffalo, NY 14203
Phone (716) 323-2000

2568 Walden Ave
Ste 103
Cheektowaga, NY 14225

30 S Cayuga Rd
Williamsville, NY 14221

1540 Maple Rd
Williamsville, NY 14221
Phone (716) 568-3514

786 Estate Pl
Memphis, TN 38120
Phone (901) 287-4100

50 N Dunlap St
Memphis, TN 38103
Phone (901) 522-3060

100 Northcrest Dr
Springfield, TN 37172
Phone (615) 384-1531

Organizations & group practices 6

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": "1587254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1790305852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1593 MCKENAS WAY CV",
            "city": "HERNANDO",
            "state": "MS",
            "postal_code": "386322203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "848 ADAMS AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381032816",
            "telephone_number": "866-870-5570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "818 Ellicott St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142031021",
            "country_code": "US",
            "telephone_number": "716-632-1088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDDLEMAN",
        "first_name": "SARA",
        "middle_name": "MICAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-19",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "27765",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "899452",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "974810-01",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; 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.