Anna E Cantrell, MD

Key facts

NPI

1942563754

Entity type

Individual (NPI type 1)

Primary specialty

Surgery Physician 208600000X

License

MD61274361 (WA)

Practice address

726 4TH St
Marysville, CA 95901

Phone

(530) 749-4300

NPI assigned

Jun 18, 2012

Sex

Female

Sole proprietor

Yes

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.

• Kaiser Foundation Health Plan of Washington Multi-Specialty Clinic/Center · Seattle, WA · NPI 1396810701
  Medicare reassignment Care Compare group NPD WA
• Acute Care Surgery Medical Group, Inc. Surgery Physician · Sacramento, CA · NPI 1700069549
  Medicare reassignment NPD CA · SURGERY
• Kaiser Foundation Health Plan of Washington Clinical Medical Laboratory · Renton, WA · NPI 1285805119
  Care Compare group
• Kaiser Foundation Health Plan of Washington Community Based Hospice Care Agency · Seattle, WA · NPI 1437289576
  Care Compare group
• Kaiser Foundation Health Plan of Washington Home Health Agency · Seattle, WA · NPI 1528198660
  Care Compare group
• Kaiser Foundation Health Plan of Washington General Acute Care Hospital · Seattle, WA · NPI 1861522088
  Care Compare group
• Kaiser Foundation Health Plan of Washington Ambulatory Surgical Clinic/Center · Bellevue, WA · NPI 1972774180
  Care Compare group
• Kaiser Foundation Health Plan of Washington Multi-Specialty Clinic/Center · Everett, WA · NPI 1386935351
  NPD

Medicare Care Compare profile

Specialty

General Surgery

Education

Geisel School of Medicine at Dartmouth, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kaiser Foundation Health Plan of Washington (1,519 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled (2 enrollments) in CA, WA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: acantrell2170591@ghc.direct-ci.net
• Direct secure messaging: aeley193016@hisp.ehr.sutterhealth.org

Specialties & licenses

Addresses

Other names

• Anna O Eley Former name

Electronic endpoints

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 21, 2022.

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1942563754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 16TH AVE E",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981125226",
            "telephone_number": "206-326-3000",
            "fax_number": "206-326-2785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 4TH ST",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "95901",
            "telephone_number": "530-749-4300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 16th Ave E",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981125226",
            "country_code": "US",
            "telephone_number": "206-326-3000",
            "fax_number": "206-326-2785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANTRELL",
        "first_name": "ANNA",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-18",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A127061",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD61274361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "201 16th Ave E",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981125226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "ELEY",
            "middle_name": "O",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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