Individual provider Active NPI

Angela Lucille McConnell, CRNA

  • Certified Registered Nurse Anesthetist
  • Charlotte, NC
National Provider Identifier
1992720031
Registry record updated Jul 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
122347 Issued in NC
Practice address
8800 N Tryon St
Charlotte, NC 28262-3300
Phone
(704) 863-5665
Fax
(704) 863-5848
NPI assigned
Jul 12, 2006
Last updated
Jul 25, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2017

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 122347 NC Primary

Addresses

Primary practice location

8800 N Tryon St
Charlotte, NC 28262-3300

Mailing address

4400 Golf Acres Drive
Suite a
Charlotte, NC 28208-5906
Phone (704) 512-6428

Other identifiers 4

IdentifierTypeStateIssuer
NAN405MedicaidSC
8051407MedicaidNC
47585OtherNCAANA-LICENSE
122347OtherNCRN LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040429001413 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 4284621236 Reassigns benefits to 5 organizations
I20250404003131 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 4284621236 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Regional Anesthesia PLLCGroup PAC ID 5496921769, 51 clinicians
Carolina Anesthesia Associates PAGroup PAC ID 1456251057, 67 clinicians
CHS Anesthesia Services Group IncGroup PAC ID 5799007324, 742 clinicians

Practice addresses (Care Compare)

106 Alexander Bank Dr
Suite 100
Mooresville, NC 28117-0100
Phone (704) 660-4055

13808 Professional Ctr Dr
Huntersville, NC 28078-7948
Phone (704) 377-4009

650 Signal Hill Dr Ext
Statesville, NC 28625-4353
Phone (704) 978-4025

8800 N Tryon St
Charlotte, NC 28262-3300
Phone (704) 863-6000

945 82ND Pkwy
Suite 2
Myrtle Beach, SC 29572-4612
Phone (843) 839-0823

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
122347NCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
CHS Anesthesia Services Group Inc Anesthesiology CurrentSince Nov 14, 2017 Accepting new patients
The Charlotte Mecklenburg Hospital Authority Nurse Anesthetist, Certified Registered CurrentSince May 1, 2017 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Current Accepting new patients
Carolina Anesthesia Associates PA Anesthesiology CurrentSince Aug 1, 2024 Accepting new patients
Charlotte Gastroenterology & Hepatology, PLLC CurrentSince May 1, 2025 Accepting new patients
Charlotte Gastroenterology & Hepatology, PLLC CurrentSince May 1, 2025 Accepting new patients
Carolina Regional Anesthesia PLLC Anesthesiology CurrentSince Aug 1, 2024 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince May 1, 2017 Accepting new patients
Carolinas Medical Center - University Nurse Anesthetist, Certified Registered Past Accepting new patients
Mooresville Hospital Management Associates LLC Past Accepting new patients
The Presbyterian Hospital Nurse Anesthetist, Certified Registered Past Accepting new patients
Mooresville Hospital Management Associates, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Gaston Anesthesia Associates, P.a. Past Accepting new patients
Gaston Anesthesia Associates, P.a. Nurse Anesthetist, Certified Registered Past Accepting new patients
Mercy Hospital, Inc. Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

2001 Vail Ave
Charlotte, NC 28207
Phone (704) 304-5000

2015 Randolph Rd
Ste 101
Charlotte, NC 28207
Phone (704) 602-6544

920 Church St N
Concord, NC 28025
Phone (704) 403-3000

920 Church St N
Ste 300
Concord, NC 28025
Phone (704) 783-4235

3312 Battleground Ave
Greensboro, NC 27410
Phone (336) 282-5000

13808 Professional Center Dr
Huntersville, NC 28078
Phone (704) 717-5549

433 McAlister Rd
Lincolnton, NC 28092
Phone (704) 512-7000

106 Alexander Bank Dr
Ste 100
Mooresville, NC 28117
Phone (704) 660-4055

650 Signal Hill Drive Ext
Statesville, NC 28625
Phone (704) 873-4277

5115 Oleander Dr
Wilmington, NC 28403
Phone (910) 362-1011

101 Surgeons Dr
Myrtle Beach, SC 29579
Phone (803) 504-7194

945 82nd Pkwy
Ste 2
Myrtle Beach, SC 29572
Phone (843) 839-0823

Organizations & group practices 15

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 15

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500940800000",
    "number": "1992720031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 GOLF ACRES DRIVE",
            "address_2": "SUITE A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282085906",
            "telephone_number": "704-512-6428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 N TRYON ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282623300",
            "telephone_number": "704-863-5665",
            "fax_number": "704-863-5848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONNELL",
        "first_name": "ANGELA",
        "middle_name": "LUCILLE",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2017-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "122347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NAN405",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8051407",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AANA-LICENSE",
            "identifier": "47585",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "122347",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2017; 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.