Active NPI
Angela Lucille McConnell, CRNA
- Certified Registered Nurse Anesthetist
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 122347
- 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, 2017
- Sex
- Female
- Sole proprietor
- No
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NAN405 | Medicaid | SC | |
| 8051407 | Medicaid | NC | |
| 47585 | Other | NC | AANA-LICENSE |
| 122347 | Other | NC | RN LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 122347 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CHS Anesthesia Services Group Inc | Anesthesiology | Current | Accepting new patients |
| The Charlotte Mecklenburg Hospital Authority | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| The Charlotte-Mecklenburg Hospital Authority | Current | Accepting new patients | |
| Carolina Anesthesia Associates PA | Anesthesiology | Current | Accepting new patients |
| Charlotte Gastroenterology & Hepatology, PLLC | Current | Accepting new patients | |
| Charlotte Gastroenterology & Hepatology, PLLC | Current | Accepting new patients | |
| Carolina Regional Anesthesia PLLC | Anesthesiology | Current | Accepting new patients |
| The Charlotte-Mecklenburg Hospital Authority | Current | 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.
-
- Certified Registered Nurse Anesthetist
- Pinehurst, NC
- NPI 1891072609
Anesthesiology
-
- Gastroenterology Physician
- Huntersville, NC
- NPI 1730100801
-
- Anesthesiology Physician
- Charlotte, NC
- NPI 1346649415
-
dba Levine Cancer Institute
- Medical Oncology Physician
- Indian Land, SC
- NPI 1669738829
NC
-
- Ambulatory Surgical Clinic/Center
- Charlotte, NC
- NPI 1851548655
-
dba Atrium Health University City
- Certified Registered Nurse Anesthetist
- Charlotte, NC
- NPI 1598156234
Nurse Anesthetist, Certified Registered
-
dba Atrium Health Pineville Rehabilitation Hospital
- Rehabilitation Hospital Unit
- Charlotte, NC
- NPI 1962987131
-
- Certified Registered Nurse Anesthetist
- Charlotte, NC
- NPI 1063586980
Nurse Anesthetist, Certified Registered
-
- Specialist
- Gastonia, NC
- NPI 1629024062
-
- Certified Registered Nurse Anesthetist
- Gastonia, NC
- NPI 1770618878
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Charlotte, NC
- NPI 1801961875
Nurse Anesthetist, Certified Registered
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.