Active NPI
Adrienne Clarke, CRNA
- Certified Registered Nurse Anesthetist
- Riverhead, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 89488
- Practice address
- 1300 Roanoke Ave
Riverhead, NY 11901-2058 - Phone
- (631) 766-3437
- NPI assigned
- May 22, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 89488 | NY | Primary |
Addresses
Primary practice location
1300 Roanoke Ave
Riverhead, NY 11901-2058
Mailing address
55 Atlantic Ave
East Moriches, NY 11940-1329
Phone (631) 766-3437
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Belle Terre Rd
Port Jefferson, NY 11777-1928
Phone (631) 360-4000
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.8 of 100
- Quality
- 91.79
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.18
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 89488 | NY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Office Based Anesthesia LLC | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| Suffolk Anesthesiology Associates, PC | Current | Accepting new patients | |
| Long Island Anesthesia Physicians LLP | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| New York University | Current | Accepting new patients |
Locations
975 Stewart Ave
Garden City, NY 11530
Phone (516) 222-8600
530 1st Ave
New York, NY 10016
Phone (212) 263-7216
1110 Hallock Ave
Port Jefferson Station, NY 11776
Phone (631) 476-9100
200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000
1 Heroes Way
Riverhead, NY 11901
Phone (631) 548-6000
1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012
50 Route 25A
Smithtown, NY 11787
Phone (631) 465-6225
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- adriennecrna.clarke@direct.stonybrookmedicine.edu
Organizations & group practices 7
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.
-
- Anesthesiology Physician
- Smithtown, NY
- NPI 1194826420
-
- Anesthesiology Physician
- Rocky Point, NY
- NPI 1952387276
-
- Otolaryngology Physician
- New York, NY
- NPI 1851456701
-
- Anesthesiology Physician
- Smithtown, NY
- NPI 1407947617
-
- Anesthesiology Physician
- Stony Brook, NY
- NPI 1801841184
-
- Cardiovascular Disease Physician
- New York, NY
- NPI 1952392961
-
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595203200000",
"number": "1821611096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 ATLANTIC AVE",
"city": "EAST MORICHES",
"state": "NY",
"postal_code": "119401329",
"telephone_number": "631-766-3437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 ROANOKE AVE",
"city": "RIVERHEAD",
"state": "NY",
"postal_code": "119012058",
"telephone_number": "631-766-3437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARKE",
"first_name": "ADRIENNE",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-22",
"last_updated": "2020-07-20",
"certification_date": "2020-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "89488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverhead, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; 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.