Active NPI
Michael C McConnell, CRNA
- Certified Registered Nurse Anesthetist
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 9302
- Practice address
- 1407 Union Ave
Suite 200
Memphis, TN 38104-3600 - Phone
- (901) 866-8813
- Fax
- (901) 302-2120
- NPI assigned
- May 1, 2006
- Last updated
- Jun 9, 2011
- 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 | 9302 | TN | Primary |
Addresses
Primary practice location
1407 Union Ave
Suite 200
Memphis, TN 38104-3600
Mailing address
1407 Union Ave
Suite 640
Memphis, TN 38104-3627
Phone (901) 866-8360
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0116747 | Other | MS | MEDICAID W/MAA |
| 3607660 | Other | TN | MEDICAID W/MAA |
| 4010460 | Other | TN | BLUE CROSS W/MAA |
| 430056979 | Other | TN | RAILROAD MEDICARE W/MAA |
| 915066112 | Other | MO | MEDICAID W/MAA |
| 3607663 | Other | TN | MEDICARE W/MAA |
| 136280701 | Other | AR | MEDICAID W/MAA |
| 3607664 | Medicaid | TN | |
| 98469 | Other | AR | BLUE CROSS W/MAA |
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, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone (901) 226-5000
6225 Humphreys Blvd
Memphis, TN 38120-2373
Phone (904) 227-9000
9300 Park W Blvd
Knoxville, TN 37923-4301
Phone (865) 546-8040
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.97 of 100
- Quality
- 64.58
- Improvement activities
- 40
- Cost
- 77.33
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9302 | TN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Regional One Physicians Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Ut Regional One Physicians Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| American Anesthesiology of Tennessee, P.C. | Current | Accepting new patients | |
| Anesthesia Solutions LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Lifelinc Anesthesia, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Partners PLLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Ridge Lake Anesthesia | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
400 10th St E
Waconia, MN 55387
501 20th St
Ste 606
Knoxville, TN 37916
Phone (865) 331-2278
9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040
1407 Union Ave
Ste 200
Memphis, TN 38104
Phone (901) 866-8360
2200 Union Ave
Memphis, TN 38104
Phone (901) 274-5813
6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190
6485 Poplar Ave
Memphis, TN 38119
Phone (901) 767-3937
877 Jefferson Ave
Memphis, TN 38103
Phone (901) 448-5893
Organizations & group practices 7
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.
-
- Anesthesiology Physician
- Knoxville, TN
- NPI 1609822998
-
- Certified Registered Nurse Anesthetist
- Memphis, TN
- NPI 1639758535
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Memphis, TN
- NPI 1801021464
Nurse Anesthetist, Certified Registered
-
- Surgery Physician
- Memphis, TN
- NPI 1093130585
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Memphis, TN
- NPI 1285042028
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Dyersburg, TN
- NPI 1396720439
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Memphis, TN
- NPI 1881810414
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1578527172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307577600000",
"number": "1962460998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1407 UNION AVE",
"address_2": "SUITE 640",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381043627",
"telephone_number": "901-866-8360",
"fax_number": "901-302-2360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1407 UNION AVE",
"address_2": "SUITE 200",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381043600",
"telephone_number": "901-866-8813",
"fax_number": "901-302-2120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCONNELL",
"first_name": "MICHAEL",
"middle_name": "C",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-01",
"last_updated": "2011-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "9302",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID W/MAA",
"identifier": "0116747",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID W/MAA",
"identifier": "3607660",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS W/MAA",
"identifier": "4010460",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE W/MAA",
"identifier": "430056979",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID W/MAA",
"identifier": "915066112",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE W/MAA",
"identifier": "3607663",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID W/MAA",
"identifier": "136280701",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3607664",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS W/MAA",
"identifier": "98469",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2011; 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.