Individual provider Active NPI

Felice Perry Pete, CRNA

  • Certified Registered Nurse Anesthetist
  • Fairfax, VA
National Provider Identifier
1861500225
Registry record updated Feb 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
051811 Issued in NC
Practice address
3998 Fair Ridge Dr
Suite 300
Fairfax, VA 22033-2921
Phone
(703) 766-9737
NPI assigned
Aug 27, 2006
Last updated
Feb 17, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2015

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 051811 NC Primary

Addresses

Primary practice location

3998 Fair Ridge Dr
Suite 300
Fairfax, VA 22033-2921

Mailing address

PO Box 37090
Baltimore, MD 21297-3090
Phone (703) 295-9360

Other identifiers 4

IdentifierTypeStateIssuer
8051347MedicaidNC
1861500225MedicaidVA
P00603493OtherNCRAILROAD MEDICARE
430057833OtherNCRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, DC, GA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040809001175 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 1456323682 Reassigns benefits to 2 organizations
I20150312002089 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 1456323682
I20180828002273 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1456323682 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Carolina Anesthesia Associates PLLCGroup PAC ID 5092720813, 691 clinicians

Practice addresses (Care Compare)

2430 Emerald PL
Suite 103
Greenville, NC 27834-5743
Phone (252) 752-2140

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
051811NCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Sleep Ezzy CurrentSince Feb 18, 2020 Accepting new patients
Radius Surgery Center LLC CurrentSince Jun 30, 2018 Accepting new patients
Ahs Surgery Center Canton LLC CurrentSince Jun 30, 2018 Accepting new patients
Atlanta Hand Specialist Surgery Center LLC CurrentSince Jun 30, 2018 Accepting new patients
Ahs Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2018 Accepting new patients
Cpmsc Carrollton CurrentSince Dec 5, 2018 Accepting new patients
Mulkey Anesthesiology Associates LLC Current Accepting new patients
Carpus Surgery Center LLC CurrentSince Jun 30, 2018 Accepting new patients
CSP Anesthesia LLC CurrentSince Oct 22, 2019 Accepting new patients
Interventional Spine and Pain Management Ambulatory Surgical Center CurrentSince Dec 5, 2018 Accepting new patients
Ulna Surgery Center LLC CurrentSince Jun 30, 2018 Accepting new patients
American Anesthesiology of North Carolina, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 10, 2020 Accepting new patients
Georgia Interventional Pain - D LLC Past Accepting new patients
Roswell Eye Surgery Center, LLC PastSince Dec 28, 2015 Accepting new patients

Locations

3390 Peachtree Rd NE
Ste 1500
Atlanta, GA 30326
Phone 40492049502501

3870 Medical Park Dr
Austell, GA 30106
Phone (770) 923-7778

3870 Medical Park Dr
Ste 100
Austell, GA 30106

201 Kimberly Way
Ste 100
Canton, GA 30114

1388 Wellbrook Cir NE
#A
Conyers, GA 30012
Phone (770) 385-7985

484 Irvin Ct
Ste 130
Decatur, GA 30030

10730 Medlock Bridge Rd
Ste 210
Johns Creek, GA 30097

455 Philip Blvd
Ste 138
Lawrenceville, GA 30046

600 Professional Dr
Ste 150
Lawrenceville, GA 30046
Phone (678) 376-1800

892 Legacy Park Dr
Lawrenceville, GA 30043

939 Bob Arnold Blvd
Ste G
Lithia Springs, GA 30122
Phone (678) 943-3939

3775 Roswell Rd
Ste 275
Marietta, GA 30062

1357 Hembree Rd
Ste 230
Roswell, GA 30076
Phone (770) 740-9664

3968 Felton Hill Rd SW
Ste 100
Smyrna, GA 30082
Phone (678) 214-6960

3968 Felton Hill Rd SW
Ste 110
Smyrna, GA 30082

403 Permian Way
Ste D
Villa Rica, GA 30180
Phone (470) 827-3648

1900 Kildaire Farm Rd
Cary, NC 27518
Phone (919) 350-2300

10000 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1300

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

3100 Spring Forest Rd
Ste 130
Raleigh, NC 27616
Phone (919) 882-0705

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

1705 Tarboro St SW
Wilson, NC 27893
Phone (252) 399-8040

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 2

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": "1156636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424131200000",
    "number": "1861500225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37090",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212973090",
            "telephone_number": "703-295-9360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3998 FAIR RIDGE DR",
            "address_2": "SUITE 300",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332921",
            "telephone_number": "703-766-9737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETE",
        "first_name": "FELICE",
        "middle_name": "PERRY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-27",
        "last_updated": "2015-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "051811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8051347",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861500225",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00603493",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "430057833",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2015; 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.