Individual provider Active NPI

Douglas R Maupin, CRNA

  • Certified Registered Nurse Anesthetist
  • Knoxville, TN
National Provider Identifier
1902820244
Registry record updated May 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
8713 Issued in TN
Practice address
10820 Parkside Dr
Knoxville, TN 37934
Phone
(405) 272-9644
NPI assigned
Jul 27, 2006
Last updated
May 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2018

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 8713 TN Primary

Addresses

Primary practice location

10820 Parkside Dr
Knoxville, TN 37934

Mailing address

PO Box 51886
Knoxville, TN 37950-1886

Other practice location 1

900 E Oak Hill Ave
Knoxville, TN 37917-4505
Phone (865) 545-8000

Other practice location 2

7557 Dannaher Dr
Powell, TN 37849-3558
Phone (865) 670-0618

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040819000134 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 2961475769 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foothills Anesthesia Associates PCGroup PAC ID 9335296466, 6 clinicians

Practice addresses (Care Compare)

1706 E Lamar Alexander Pkwy
Maryville, TN 37804-6204
Phone (865) 983-0073

Merit-based Incentive Payment System (MIPS)

Final score
77.77 of 100Reported as group
Quality
58.61
Promoting interoperability
92
Improvement activities
40
Cost
73.97

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33059TNMDPharmacist
41441TNMDPharmacist
8713TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
American Anesthesiology of Tennessee, P.C. Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2004 Accepting new patients
Foothills Anesthesia Associates PC Nurse Anesthetist, Certified Registered CurrentSince Jul 31, 2024 Accepting new patients
American Anesthesiology of Tennessee, P.C. CurrentSince Oct 1, 2004 Accepting new patients
Anesthesia Consultants of Knoxville, PC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

10820 Parkside Dr
Knoxville, TN 37934
Phone (865) 218-7011

11440 Parkside Dr
Knoxville, TN 37934
Phone (865) 675-0688

501 20th St
Ste 606
Knoxville, TN 37916
Phone (865) 331-2278

900 E Hill Ave
Knoxville, TN 37915
Phone (865) 545-7817

9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040

1706 E Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 983-0073

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526515200000",
    "number": "1902820244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51886",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379501886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10820 PARKSIDE DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37934",
            "telephone_number": "405-272-9644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 E Oak Hill Ave",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379174505",
            "country_code": "US",
            "telephone_number": "865-545-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7557 Dannaher Dr",
            "address_purpose": "LOCATION",
            "city": "Powell",
            "state": "TN",
            "postal_code": "378493558",
            "country_code": "US",
            "telephone_number": "865-670-0618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAUPIN",
        "first_name": "DOUGLAS",
        "middle_name": "R",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2018-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "8713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2018; 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.