Active NPI
Glenn M. Colassi, CRNA
- Certified Registered Nurse Anesthetist
- Worcester, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209018499
- Practice address
- 55 Lake Ave N
Department of Anesthesiology
Worcester, MA 01655-0002 - Phone
- (508) 334-3271
- Fax
- (508) 856-5911
- NPI assigned
- Mar 18, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 209018499 | IL | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | RN234908 | MA |
Addresses
Primary practice location
55 Lake Ave N
Department of Anesthesiology
Worcester, MA 01655-0002
Mailing address
PO Box 415348
Boston, MA 02241-5348
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, TX, SC
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Morse St
Norwood, MA 02062-4679
Phone (781) 255-0362
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209018499 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Musc Community Physicians | Current | Accepting new patients | |
| Musc Community Physicians | Current | Accepting new patients | |
| Musc Community Physicians | Current | Accepting new patients | |
| Nantucket Physicians Organization | Current | Accepting new patients | |
| Nantucket Cottage Hospital | Current | Accepting new patients | |
| Medstream Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Nantucket Cottage Hospital | Current | Accepting new patients | |
| MCH Professional Care Hospital Based | Current | Accepting new patients | |
| Anesthesia Professionals, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Matrix Anesthesia, PC | Current | Accepting new patients |
Locations
680 Centre St
Brockton, MA 02302
Phone (508) 941-7400
57 Prospect St
Nantucket, MA 02554
Phone (508) 228-1200
146 Industrial Park Rd
Plymouth, MA 02360
Phone (508) 833-6000
400 10th St E
Waconia, MN 55387
593 Eddy St
Providence, RI 02903
506 North St
Bamberg, SC 29003
Phone (803) 245-6290
805 Pamplico Hwy
Florence, SC 29505
Phone (843) 674-2500
2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570
500 W 4th St
Odessa, TX 79761
Phone (432) 640-1000
Organizations & group practices 11
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
- Norwood, MA
- NPI 1700061652
-
- Certified Registered Nurse Anesthetist
- Dartmouth, MA
- NPI 1659346443
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Brockton, MA
- NPI 1700028032
-
- Rural Acute Care Hospital
- Nantucket, MA
- NPI 1447214622
-
- Orthopaedic Surgery Physician
- Nantucket, MA
- NPI 1568798510
-
- Family Medicine Physician
- Odessa, TX
- NPI 1447547773
-
- Anesthesiology Physician
- Richardson, TX
- NPI 1649616160
Nurse Anesthetist, Certified Registered, SC
-
- Internal Medicine Physician
- Bamberg, SC
- NPI 1841878006
-
- Rural Health Clinic/Center
- Nantucket, MA
- NPI 1477021608
-
- Rural Health Clinic/Center
- Bowman, SC
- NPI 1225735772
-
- Family Medicine Physician
- Bamberg, SC
- NPI 1992383145
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Attleboro, MA
- NPI 1730106162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546473600000",
"number": "1891019907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 415348",
"city": "BOSTON",
"state": "MA",
"postal_code": "022415348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 LAKE AVE N",
"address_2": "DEPARTMENT OF ANESTHESIOLOGY",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016550002",
"telephone_number": "508-334-3271",
"fax_number": "508-856-5911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLASSI",
"first_name": "GLENN",
"middle_name": "M.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-18",
"last_updated": "2019-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209018499",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MA",
"license": "RN234908",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.