Individual provider Active NPI

Alexander Philip Treide, CRNA

  • Certified Registered Nurse Anesthetist
  • Mooresville, NC
National Provider Identifier
1982346938
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
291317 Issued in NC
Practice address
146 Medical Park Rd Ste 108
Mooresville, NC 28117-8529
Phone
(704) 662-0877
Fax
(704) 662-0875
NPI assigned
Apr 11, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 087605-23 NH
Certified Registered Nurse Anesthetist 367500000X 159739 CT
Certified Registered Nurse Anesthetist 367500000X 291317 NC Primary

Addresses

Primary practice location

146 Medical Park Rd Ste 108
Mooresville, NC 28117-8529

Mailing address

146 Medical Park Rd Ste 108
Mooresville, NC 28117-8529
Phone (704) 662-0877

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221031001625 NH Practitioner - Certified Registered Nurse Anesthetist (Crna) 3072980341 Reassigns benefits to 2 organizations
I20250818004693 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 3072980341 Reassigns benefits to 1 organization

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
Dartmouth-Hitchcock ClinicGroup PAC ID 4183537509, 1,445 clinicians
Lake Norman Anesthesia AssociatesGroup PAC ID 1951396126, 25 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Lebanon, NH 03756-1000
Phone (603) 650-5000

114 Commerce Ctr Loop
Suite B
Mooresville, NC 28117-8385
Phone (704) 662-0877

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.66 of 100Reported as apm
Quality
53.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7912NCMDProfessional Counselor
159739CTMDCertified Registered Nurse Anesthetist
291317NCMDCertified Registered Nurse Anesthetist
087605-23NHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Hitchcock Memorial Hospital CurrentSince Oct 4, 2024 Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Aug 8, 2022 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Oct 4, 2024 Accepting new patients
Lake Norman Anesthesia Associates CurrentSince Oct 1, 2025 Accepting new patients

Locations

114 Commerce Center Loop
Ste B
Mooresville, NC 28117
Phone (704) 662-0877

146 Medical Park Rd
Ste 108
Mooresville, NC 28117
Phone (704) 662-0876

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

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1649635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1982346938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 MEDICAL PARK RD STE 108",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178529",
            "telephone_number": "704-662-0877",
            "fax_number": "704-662-0875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 MEDICAL PARK RD STE 108",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178529",
            "telephone_number": "704-662-0877",
            "fax_number": "704-662-0875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREIDE",
        "first_name": "ALEXANDER",
        "middle_name": "PHILIP",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-11",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NH",
            "license": "087605-23",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CT",
            "license": "159739",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "291317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; 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.