Individual provider Active NPI

Nathan T. Ivy, CRNA

  • Certified Registered Nurse Anesthetist
  • Birmingham, AL
National Provider Identifier
1841545118
Registry record updated Jul 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1-125332 Issued in AL
Practice address
810 Saint Vincents Dr
Birmingham, AL 35205-1601
Phone
(205) 939-7143
NPI assigned
Jul 23, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2012

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 1-125332 AL Primary

Addresses

Primary practice location

810 Saint Vincents Dr
Birmingham, AL 35205-1601

Mailing address

255 W Michigan Ave
P. O. Box 1123
Jackson, MI 49201-2218
Phone (800) 516-5315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, MA, NY, WA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20121130000407 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 5496907230 Reassigns benefits to 4 organizations
I20251023003865 MA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5496907230 Reassigns benefits to 1 organization
I20260212000844 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 5496907230 Reassigns benefits to 1 organization
I20260526001154 WA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5496907230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Health and Service- WashingtonGroup PAC ID 0840279758, 170 clinicians
Umass Memorial Medical Group IncGroup PAC ID 4284539891, 2,494 clinicians
U of R Anesthesiology GroupGroup PAC ID 3476451105, 340 clinicians
Anesthesiologists Associated PCGroup PAC ID 6204739519, 418 clinicians

Practice addresses (Care Compare)

101 W 8TH Ave
Spokane, WA 99204-2307
Phone (509) 474-3131

2000 6TH Ave S
Birmingham, AL 35233-2110
Phone (205) 937-9999

21 Eastern Ave
Worcester, MA 01605-3094
Phone (508) 856-2500

601 Elmwood Ave
Rochester, NY 14642-0001
Phone (585) 275-2141

601 Elmwood Ave Box
Rochester, NY 14642-0001

619 19TH St S
Birmingham, AL 35249-1900
Phone (205) 934-4011

701 Princeton Ave SW
Birmingham, AL 35211-1303
Phone (205) 848-2925

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.6 of 100Reported as group
Quality
61.85
Promoting interoperability
97
Improvement activities
40
Cost
79.3

Merit-based Incentive Payment System (MIPS)

Final score
76.94 of 100Reported as group
Quality
56.16
Promoting interoperability
86
Improvement activities
40
Cost
78.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Associates of North-Central Alabama Inc Current Accepting new patients
Anesthesiologists Associated PC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2018 Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince Sep 15, 2025 Accepting new patients
U of R Anesthesiology Group CurrentSince Feb 23, 2026 Accepting new patients
Umass Memorial Medical Group Inc CurrentSince Sep 15, 2025 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince May 1, 2015 Accepting new patients
Anesthesiologists Associated PC CurrentSince Sep 1, 2018 Accepting new patients
Birmingham Gastroenterology Associates PC Current Accepting new patients

Locations

2010 Brookwood Medical Ctr Dr
Ste G100
Birmingham, AL 35209
Phone (205) 523-4342

2010 Brookwood Medical Ctr Dr
#G100
Birmingham, AL 35209

701 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 279-2860

513 Brookwood Blvd
Ste 401
Birmingham, AL 35209
Phone (205) 663-1023

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

2720 University Blvd
Birmingham, AL 35233
Phone (205) 581-5380

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

619 19th St S
Birmingham, AL 35249

1 Independence Plz
Homewood, AL 35209
Phone (205) 255-3828

1 Independence Plz
Ste 900
Homewood, AL 35209
Phone (205) 879-7953

7191 Cahaba Valley Rd
Ste 206
Hoover, AL 35242
Phone (205) 408-6421

21 Eastern Ave
Worcester, MA 01605
Phone (508) 334-8419

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

601 Elmwood Ave
#604
Rochester, NY 14642
Phone (585) 275-2141

Interoperability endpoints

  • Direct secure messaging: nivy@direct.uabmedicine.org

Organizations & group practices 9

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343001600000",
    "number": "1841545118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W MICHIGAN AVE",
            "address_2": "P. O. BOX 1123",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012218",
            "telephone_number": "800-516-5315",
            "fax_number": "517-787-7365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 SAINT VINCENTS DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051601",
            "telephone_number": "205-939-7143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVY",
        "first_name": "NATHAN",
        "middle_name": "T.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-23",
        "last_updated": "2012-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-125332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; 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.