Individual provider Active NPI

Erin Fannon

  • Certified Registered Nurse Anesthetist
  • New Haven, CT
National Provider Identifier
1902372139
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
080854-23 Issued in NH
Practice address
1450 Chapel St
New Haven, CT 06511-4405
Phone
(203) 789-3351
NPI assigned
Oct 15, 2018
Last updated
Feb 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 129872 CT
Certified Registered Nurse Anesthetist 367500000X 7971 CT
Certified Registered Nurse Anesthetist 367500000X RN2342913 MA
Certified Registered Nurse Anesthetist 367500000X 080854-23 NH Primary

Addresses

Primary practice location

1450 Chapel St
New Haven, CT 06511-4405

Mailing address

996 Main St Apt 216
Branford, CT 06405-7708

Other practice location 1

41 Mall Rd
Burlington, MA 01805-4405
Phone (781) 744-8000

Other practice location 2

100 Hitchcock Way
Manchester, NH 03104-4125
Phone (603) 695-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NH, MA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20190108001452 CT Practitioner - Certified Registered Nurse Anesthetist (Crna) 2466798780 Reassigns benefits to 1 organization
I20191120000450 NH Practitioner - Certified Registered Nurse Anesthetist (Crna) 2466798780 Reassigns benefits to 9 organizations
I20200617001530 MA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2466798780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dartmouth-Hitchcock ClinicGroup PAC ID 4183537509, 1,445 clinicians
Granite State Anesthesia Partners, LLCGroup PAC ID 6709315708, 41 clinicians
Portsmouth Anesthesia Associates PAGroup PAC ID 6002855327, 40 clinicians
Anesthesia Care Group PCGroup PAC ID 5395646178, 35 clinicians
Umass Memorial Medical Group IncGroup PAC ID 4284539891, 2,494 clinicians

Practice addresses (Care Compare)

100 Hitchcock Way
Manchester, NH 03104-4125
Phone (603) 695-2500

100 McGregor St
Manchester, NH 03102-3730
Phone (800) 437-9666

11 Whitehall Rd
Rochester, NH 03867-3226
Phone (603) 332-5211

333 Borthwick Ave
Portsmouth, NH 03801-7128
Phone (603) 436-5110

5 Alumni Dr
Exeter, NH 03833-2128
Phone (603) 778-7311

55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 334-1000

88 McGregor St
Suite 303
Manchester, NH 03102-3734
Phone (603) 647-9325

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
129872CTMDRegistered Nurse
7971CTMDPharmacist
RN2342913MAMDCertified Registered Nurse Anesthetist
080854-23NHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Associates Professional Association Nurse Anesthetist, Certified Registered CurrentSince Dec 21, 2020 Accepting new patients
Yale University CurrentSince Dec 1, 2018 Accepting new patients
North American Partners in Anesthesia New Hampshire LLP CurrentSince Jun 15, 2022 Accepting new patients
Hospitalist Medicine Physicians of New York - Patchogue PC CurrentSince Oct 6, 2023 Accepting new patients
Portsmouth Anesthesia Associates PA CurrentSince Oct 1, 2019 Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Feb 1, 2023 Accepting new patients
Anesthesia Care Group PC CurrentSince Jan 1, 2026 Accepting new patients
Yale University CurrentSince Dec 1, 2018 Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince Oct 31, 2025 Accepting new patients
Mary Hitchcock Memorial Hospital Current Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Feb 1, 2023 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Sep 27, 2024 Accepting new patients
Umass Memorial Medical Group Inc CurrentSince Oct 31, 2025 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Sep 27, 2024 Accepting new patients

Locations

1450 Chapel St
New Haven, CT 06511
Phone (203) 789-3151

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

119 Belmont St
Worcester, MA 01605
Phone (508) 334-6345

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

88 McGregor St
Ste 303
Manchester, NH 03102
Phone (603) 647-9325

100 Hitchcock Way
Manchester, NH 03104
Phone (603) 629-1870

100 McGregor St
Manchester, NH 03102
Phone (603) 663-6931

2300 Southwood Dr
Nashua, NH 03063
Phone (603) 577-4170

8 Prospect St
Nashua, NH 03060
Phone (603) 281-9275

10 Prospect St
Ste 101
Nashua, NH 03060
Phone (603) 578-9909

333 Bothwick Ave
Portsmouth, NH 03801
Phone (603) 433-4907

11 Whitehall Rd
Rochester, NH 03867
Phone (603) 330-7905

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

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": "1539561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1902372139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "996 MAIN ST APT 216",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064057708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 CHAPEL ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065114405",
            "telephone_number": "203-789-3351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41 Mall Rd",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "MA",
            "postal_code": "018054405",
            "country_code": "US",
            "telephone_number": "781-744-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Hitchcock Way",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031044125",
            "country_code": "US",
            "telephone_number": "603-695-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FANNON",
        "first_name": "ERIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-15",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "129872",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CT",
            "license": "7971",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MA",
            "license": "RN2342913",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NH",
            "license": "080854-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; 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.