Patricia M McCormick Dupre, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN149531 Issued in OH

Practice address

801 Medical Drive
Suite B
Lima, OH 45804-4099

Phone

(419) 224-7586

Fax

(419) 224-9769

NPI assigned

Sep 16, 2006

Last updated

May 19, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 8

Other names 1

• Patricia M Dupre Other name

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Lake Erie Sedation Associates, LLC

  • Certified Registered Nurse Anesthetist
  • Chagrin Falls, OH
  • NPI 1265927594

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Safe Anesthesia Chardon LLC

  • Certified Registered Nurse Anesthetist
  • Chardon, OH
  • NPI 1740599976

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Anesthesia Dynamics LLC

  • Anesthesiology Physician
  • Bradenton, FL
  • NPI 1073001012

  Nurse Anesthetist, Certified Registered, OH

  Medicare reassignment NPD
• Buckeye Anesthesia Services & Consultants LLC

  • Anesthesiology Physician
  • Lima, OH
  • NPI 1225079270
  Medicare reassignment
• Doctors Anesthesia Services of Columbus Inc

  • Anesthesiology Physician
  • New Albany, OH
  • NPI 1275577157
  NPD (past)
• The Endoscopy Center at Bainbridge LLC

  • Ambulatory Surgical Clinic/Center
  • Chagrin Falls, OH
  • NPI 1831217231
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211155200000",
    "number": "1790881621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 714813",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43271",
            "telephone_number": "937-293-0247",
            "fax_number": "937-293-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 MEDICAL DRIVE",
            "address_2": "SUITE B",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458044099",
            "telephone_number": "419-224-7586",
            "fax_number": "419-224-9769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK DUPRE",
        "first_name": "PATRICIA",
        "middle_name": "M",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2008-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "037246",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "RN149531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "000000226089",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000515999",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE MEDICAID",
            "identifier": "414347",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUCKEYE MEDICAID",
            "identifier": "746241",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCMH",
            "identifier": "0583328",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2135684",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7441733",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRNA LICENSE",
            "identifier": "037246",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "DUPRE",
            "middle_name": "M",
            "credential": "CRNA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Joselyn McClellan
• Kate Elizabeth McCollum, RN
• Lauren Nicole McCombs, LSW
• Lydia Marie McConkey
• Emily N McConnell
• Jullien McCoy
• Patricia Lynn McCutchan, M.D.
• Bradly McDaniel
• Mark G McDonald, M.D.
• Joseph J McDonnell

• Certified Registered Nurse Anesthetist in Lima, OH
• Providers in Lima, OH by specialty
• Certified Registered Nurse Anesthetist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.