CRNA
NPI 1023105905
Nurse Anesthetist, Certified Registered in Concord, NC

Q: What is Cmc-Northeast, Inc.'s NPI number?

The NPI number for Cmc-Northeast, Inc. is 1023105905. It was assigned to this organization in the NPPES registry on October 10, 2006. The provider is doing business as Crna.

Q: What is Cmc-Northeast, Inc.'s specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Active since October 10, 2006

920 CHURCH ST N, CONCORD, NC 28025(704) 403-3000 Get Directions Write a Review

NPPES record last updated: September 18, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRNA (NPI 1023105905) is a healthcare organization registered as a nurse anesthetist, certified registered in Concord, North Carolina and active in the NPI registry since October 2006. The organization lists Mark Nantz, Chief Administrative Officer, as its authorized official.

NPPES Registry Identity

NPI1023105905

Entity TypeOrganization

Primary Taxonomy367500000X

Legal Business NameCMC-NORTHEAST, INC.

Location Address920 CHURCH ST NConcord, NC 28025-2927

Mailing Address920 Church St NConcord, NC 28025-2927 · (704) 403-3000

Phone(704) 403-3000

Organization SubpartNo

Authorized OfficialMark NantzChief Administrative Officer · (704) 783-1176

Enumeration DateOctober 10, 2006

Last NPPES UpdateSeptember 18, 2007

✔ NPI 1023105905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

920 CHURCH ST N, Concord, NC 28025

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Other Names 1

Doing Business AsCrna

Other Identifiers 2

Other232009ANC · Medicare Group Ptan

Medicaid8000181NC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 11 clinicians reassign Medicare billing to Crna, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.