Active NPI
Corey T Kocisko, CRNA
- Certified Registered Nurse Anesthetist
- Cookeville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 143807
- Practice address
- 1 Medical Center Blvd
Cookeville, TN 38501-4294 - Phone
- (931) 528-2541
- NPI assigned
- Dec 29, 2022
- Sex
- Male
- 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 | 143807 | GA | Primary |
Addresses
Primary practice location
1 Medical Center Blvd
Cookeville, TN 38501-4294
Mailing address
7312 Martingale Dr
Powell, TN 37849-5159
Phone (731) 307-0360
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10820 Parkside Dr
Knoxville, TN 37934-1956
Phone (865) 546-8040
110 Hospital Dr
Jefferson City, TN 37760-5281
Phone (865) 859-1138
550 Fort Loudon Medical Ctr Dr
Lenoir City, TN 37772-5673
Phone (888) 854-3822
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 143807 | GA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resource Anesthesia, P.C. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| American Anesthesiology of Tennessee, P.C. | Current | Accepting new patients | |
| Lifelinc Anesthesia II, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Lifelinc Anesthesia VIII PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Covenant Anesthesia Group, PC | Current | Accepting new patients | |
| American Anesthesiology of Tennessee, P.C. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| University Anesthesiologists, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| University Anesthesiologists, PLLC | Past | Accepting new patients |
Locations
105 N Meadows Dr
Athens, TN 37303
Phone (423) 649-3300
1 Medical Center Blvd
Cookeville, TN 38501
Phone (931) 783-2334
110 Hospital Dr
Jefferson Cty, TN 37760
Phone (865) 471-2431
1901 Clinch Ave
Knoxville, TN 37916
Phone (865) 331-1111
1924 Alcoa Hwy
#U109
Knoxville, TN 37920
Phone (865) 305-9220
10820 Parkside Dr
Knoxville, TN 37934
Phone (865) 218-7011
9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040
9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000
Dept 888089
Knoxville, TN 37995
550 Fort Loudon Medical Center Dr
#C
Lenoir City, TN 37772
550 Fort Loudoun Med Center Dr
Lenoir City, TN 37772
Phone (865) 271-6000
435 2nd St
Newport, TN 37821
Phone (423) 625-2200
990 Oak Ridge Tpke
Oak Ridge, TN 37830
Phone (865) 481-1000
7565 Dannaher Dr
Powell, TN 37849
Phone (865) 545-8000
100 Northcrest Dr
Springfield, TN 37172
Phone (615) 384-1531
6242 W Andrew Johnson Hwy
Talbott, TN 37877
Phone (423) 690-3250
1850 Old Knoxville Rd
Tazewell, TN 37879
Phone (423) 526-2137
Organizations & group practices 8
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
- Knoxville, TN
- NPI 1609822998
-
- Anesthesiology Physician
- Newport, TN
- NPI 1679265052
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Lenoir City, TN
- NPI 1033162045
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Oak Ridge, TN
- NPI 1639148117
-
- Anesthesiology Physician
- Springfield, TN
- NPI 1821397233
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Knoxville, TN
- NPI 1073619466
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Knoxville, TN
- NPI 1245279777
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Knoxville, TN
- NPI 1558479279
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cookeville, TN
- NPI 1275531956
-
- General Acute Care Hospital
- Lenoir City, TN
- NPI 1609860659
-
- General Acute Care Hospital
- Powell, TN
- NPI 1043292899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672272000000",
"number": "1891408399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7312 MARTINGALE DR",
"city": "POWELL",
"state": "TN",
"postal_code": "378495159",
"telephone_number": "731-307-0360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER BLVD",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385014294",
"telephone_number": "931-528-2541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOCISKO",
"first_name": "COREY",
"middle_name": "T",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-12-29",
"last_updated": "2022-12-29",
"certification_date": "2022-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "143807",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cookeville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; 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.