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NOVANT HEALTH BRUNSWICK MEDICAL CENTER CRNAS
NPI 1669725198
Nurse Anesthetist, Certified Registered in Bolivia, NC

Active since October 22, 2012CLIA 34D2193154 · Microscopy
240 HOSPITAL DR NE, BOLIVIA, NC 28422(910) 755-8121 Get Directions Write a Review

NPPES record last updated: October 8, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 8, 2024, Aug 23, 2024, Nov 24, 2015 (3 updates tracked since 2015).

About Novant Health Brunswick Medical Center Crnas NPPES

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

NOVANT HEALTH BRUNSWICK MEDICAL CENTER CRNAS (NPI 1669725198) is a healthcare organization registered as a nurse anesthetist, certified registered in Bolivia, North Carolina and active in the NPI registry since October 2012. The organization holds a CLIA Microscopy certificate valid through September 16, 2028 and lists Heather Marie King, President & Coo Nhbmc, as its authorized official.

NPPES Registry Identity

NPI1669725198
Entity TypeOrganization
Primary Taxonomy367500000X
Legal Business NameBRUNSWICK COMMUNITY HOSPITAL, LLC
Location Address240 HOSPITAL DR NEBolivia, NC 28422-8346
Mailing AddressPo Box 601474Charlotte, NC 28260-1474 · (336) 277-8757 · Fax (336) 718-8916
Phone(910) 755-8121
Organization SubpartYesParent: Brunswick Community Hospital
Authorized OfficialHeather Marie KingPresident & Coo Nhbmc · (336) 726-3316
Enumeration DateOctober 22, 2012
Last NPPES UpdateOctober 8, 20243 updates tracked since enumeration
NPPES CertifiedOctober 8, 2024
✔ NPI 1669725198 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.
240 HOSPITAL DR NE, Bolivia, NC 28422
Open in Google Maps ↗

Other Names 1

Doing Business AsNovant Health Brunswick Medical Center Crnas

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Novant Health Brunswick Medical Center Crnas is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

638

Medicare enrollment records show 638 clinicians reassign Medicare billing to Novant Health Brunswick Medical Center Crnas, which bills Medicare for the services they deliver. Of these, 16 practice at this address and 27 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 12

Certified Registered Nurse Anesthetist (CRNA)548
Cardiovascular Disease (Cardiology)34
Emergency Medicine18
Hospitalist16
Internal Medicine5
Interventional Cardiology5
Cardiac Electrophysiology4
Pediatric Medicine3
4 other specialties5

Nearest to this location (20)

See all 638
Kevin Applegate, MD
Hospitalist
NPI 1487148367
240 HOSPITAL DR NE
Bolivia, NC 28422
(910) 721-2070
✔ PECOS✔ Accepts MedicareSame address
Pamela Betz, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1437316783
240 HOSPITAL DR NE
Bolivia, NC 28422
(910) 721-1000
✔ Accepts MedicareSame address
Alan Bloszko, MD
Hospitalist
NPI 1669905972
240 HOSPITAL DR NE
Bolivia, NC 28422
(910) 721-2070
✔ PECOS✔ Accepts MedicareSame address
Nathan Craig, DO
Hospitalist
NPI 1902396849
240 HOSPITAL DR NE
Bolivia, NC 28422
(910) 721-2070
✔ PECOSSame address
Gregory Davis, MD
Emergency Medicine
NPI 1164438602
240 HOSPITAL DR NE
Bolivia, NC 28422
(843) 497-5929
✔ PECOSSame address
William Faircloth, MD
Hospitalist
NPI 1649311457
240 HOSPITAL DR NE
Bolivia, NC 28422
(910) 755-1004
✔ PECOS✔ Accepts MedicareSame address
Christine Grissett, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1336425099
240 HOSPITAL DR NE
Bolivia, NC 28422
(910) 755-1004
✔ Accepts MedicareSame address
Kelly Hale, D.O
Emergency Medicine
NPI 1275874109
240 HOSPITAL DR NE
Bolivia, NC 28422
(910) 721-1700
✔ PECOSSame address
Kimberly Hensley, DO
Hospitalist
NPI 1013238138
240 HOSPITAL DR NE
Bolivia, NC 28422
(910) 721-2070
✔ PECOS✔ Accepts MedicareSame address
Ryan Jordanhazy, M.D.
Emergency Medicine
NPI 1427311794
240 HOSPITAL DR NE
Bolivia, NC 28422
(910) 721-1000
✔ PECOS✔ Accepts MedicareSame address
David Koenig, MD
Hospitalist
NPI 1811975469
240 HOSPITAL DR NE
Bolivia, NC 28422
(910) 721-2070
✔ PECOS✔ Accepts MedicareSame address
Derek Macdonald
Certified Registered Nurse Anesthetist (CRNA)
NPI 1730959917
240 HOSPITAL DR NE
Bolivia, NC 28422
(910) 721-1000
✔ Accepts MedicareSame address
Lawrence Mason, MD
Hospitalist
NPI 1780812867
240 HOSPITAL DR NE
Bolivia, NC 28422
(910) 721-2070
✔ PECOS✔ Accepts MedicareSame address
Keith Reschly, M.D.
Hospitalist
NPI 1598762114
240 HOSPITAL DR NE
Bolivia, NC 28422
(910) 721-2070
✔ PECOS✔ Accepts MedicareSame address
Jane Shaw, DO
Internal Medicine
NPI 1427452812
240 HOSPITAL DR NE
Bolivia, NC 28422
(910) 721-2070
✔ PECOS✔ Accepts MedicareSame address
Michelle Shepherd, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1073718268
240 HOSPITAL DR NE
Bolivia, NC 28422
(910) 755-8121
✔ Accepts MedicareSame address
Nicholas Billings, DO
Emergency Medicine
NPI 1811252216
240 HOSPITAL DR NE
Bolivia, NC 28422
(910) 721-1000
✔ PECOS✔ Accepts Medicare0.1 mi
April Chambers, C.R.N.A.
Certified Registered Nurse Anesthetist (CRNA)
NPI 1619297371
240 HOSPITAL DR
Bolivia, NC 28422
(817) 689-6259
✔ Accepts Medicare0.1 mi
Patrick Ellis, MD
Cardiovascular Disease (Cardiology)
NPI 1861401606
584 HOSPITAL DR NE
Bolivia, NC 28422
(910) 662-9500
✔ PECOS✔ Accepts Medicare0.1 mi
Adolfo Desandre, M.D.
General Surgery
NPI 1710963475
257 HOSPITAL DRIVE SUITE 200
Bolivia, NC 28422
(910) 721-4000
✔ PECOS✔ Accepts Medicare0.2 mi
See all 638 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 34D2193154

Novant Health Brunswick Medical Center - Ppm · Bolivia, NC
Active · expires Sep 16, 2028
CLIA Number34D2193154
Laboratory TypeHospital
Certificate Effective DateSeptember 17, 2026
Certificate Expiration DateSeptember 16, 2028
Laboratory DirectorNicholas B. Bodenheimer
Laboratory Phone(336) 718-6426
Laboratory LocationNovant Health Brunswick Medical Center - Ppm240 Hospital Dr, Bolivia, NC 28422
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brunswick Community Hospital, LLC's NPI number?

The NPI number for Brunswick Community Hospital, LLC is 1669725198. It was assigned to this organization in the NPPES registry on October 22, 2012. The provider is doing business as Novant Health Brunswick Medical Center Crnas.

Where is Brunswick Community Hospital, LLC located?

Brunswick Community Hospital, LLC is located at 240 Hospital Dr NE, Bolivia, NC 28422. The listed phone number is (910) 755-8121.

What is Brunswick Community Hospital, LLC's specialty?

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

Is Brunswick Community Hospital, LLC enrolled in Medicare?

Yes. Brunswick Community Hospital, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Brunswick Community Hospital, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 638 clinicians in 12 Medicare specialties reassign their Medicare billing to Brunswick Community Hospital, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (548), Cardiovascular Disease (Cardiology) (34) and Emergency Medicine (18). Of these, 16 practice at this address and 27 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Brunswick Community Hospital, LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 34D2193154) is associated with this NPI, valid through September 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Brunswick Community Hospital, LLC accept?

Health plans from Blue Cross and Blue Shield of NC list Brunswick Community Hospital, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brunswick Community Hospital, LLC was last updated on October 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.