Active NPI
Aaron McClellan, CRNA
- Certified Registered Nurse Anesthetist
- Lebanon, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 069059-23
- Practice address
- 1 Medical Center Dr
Lebanon, NH 03756-1000 - Phone
- (603) 650-5922
- NPI assigned
- Jan 10, 2014
- Sex
- Male
- Sole proprietor
- No
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 | 069059-23 | NH | Primary |
Addresses
Primary practice location
1 Medical Center Dr
Lebanon, NH 03756-1000
Mailing address
500 Freeman Rd
Plainfield, NH 03781-5022
Phone (208) 220-2929
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY, ID
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Memorial Hospital of Converse County
Practice addresses (Care Compare)
111 S 5TH St
Douglas, WY 82633-2434
Phone (307) 358-2122
2025 E 17TH St
Idaho Falls, ID 83404-6430
Phone (208) 524-2025
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 069059-23 | NH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastroenterology Associates, LLC | Current | Accepting new patients | |
| Memorial Hospital of Converse County | Current | Accepting new patients | |
| Memorial Hospital of Converse County | Current | Accepting new patients |
Locations
1441 Wilkins Cir
Casper, WY 82601
Phone (307) 265-1792
6350 E 2nd St
Casper, WY 82609
Phone (307) 232-6600
111 S 5th St
Douglas, WY 82633
Phone (307) 358-6200
Organizations & group practices 4
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.
-
- Certified Registered Nurse Anesthetist
- Blackfoot, ID
- NPI 1093826513
-
- Critical Access Hospital
- Douglas, WY
- NPI 1326085408
-
- General Practice Physician
- Douglas, WY
- NPI 1356496491
-
- Gastroenterology Physician
- Casper, WY
- NPI 1811909807
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Casper, WY
- NPI 1609297506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546819200000",
"number": "1881016822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 FREEMAN RD",
"city": "PLAINFIELD",
"state": "NH",
"postal_code": "037815022",
"telephone_number": "208-220-2929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER DR",
"city": "LEBANON",
"state": "NH",
"postal_code": "037561000",
"telephone_number": "603-650-5922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLELLAN",
"first_name": "AARON",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-01-10",
"last_updated": "2019-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NH",
"license": "069059-23",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; 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.