SONJA O'SULLIVAN CRNA
NPI 1518324037
Nurse Anesthetist, Certified Registered in Knoxville, TN
Quality Rating: 88.66 out of 100 score
NPI Status: Active since January 28, 2016
Contact Information
1901 CLINCH AVE
KNOXVILLE, TN
ZIP 37916
Phone: (865) 541-1111
- Individual
- Female
- Nurse Anesthetist, Certified Registered
- Accepts Insurance
- Medicare Quality Reporting
About SONJA O'SULLIVAN
This page provides the complete NPI Profile along with additional information for Sonja O'sullivan, a provider established in Knoxville, Tennessee with a medical specialization in Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1518324037 assigned on January 2016. The practitioner's primary taxonomy code is 367500000X with license number 24560 (TN). The provider is registered as an individual and her NPI record was last updated 7 years ago.
- NPI
- 1518324037
- Provider Name
- SONJA O'SULLIVAN CRNA
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1901 CLINCH AVE KNOXVILLE, TN 37916
- Location Phone
- (865) 541-1111
- Mailing Address
- 2 TRAP FALLS RD SUITE 414 SHELTON, CT 06484
- Mailing Phone
- (203) 929-7353
- Mailing Fax
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-28-2016
- Last Update Date
- 08-30-2018
- Code Navigator
Location Map
Secondary Locations
- 99 E River Dr 5th Floor
East Hartford, CT 06108
(860) 282-4128
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Anesthetist, Certified Registered
- Taxonomy Code
- 367500000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 24560
- License State
- TN
- Taxonomy Description
- (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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 367500000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered | 107689 (CT) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue AdvanceHealth Bronze - Neighborhood Network - HMO
- Blue AdvanceHealth Gold - Neighborhood Network - HMO
- Blue AdvanceHealth Silver - Neighborhood Network - HMO
- Blue EverydayHealth Gold - Neighborhood Network - HMO
- Blue EverydayHealth Silver - Neighborhood Network - HMO
- Blue Portfolio HSA Bronze - Neighborhood Network - HMO
- Blue Portfolio HSA Gold - Statewide PPO Network - PPO
- Blue PPO PremierHealth Silver - Statewide PPO Network - PPO
- Blue PPO PremierHealth Gold - Statewide PPO Network - PPO
- Blue PPO StandardHealth Gold - Statewide PPO Network - PPO
- Blue PPO StandardHealth Silver - Statewide PPO Network - PPO
- Blue StandardHealth Bronze - Neighborhood Network - HMO
- Blue StandardHealth Gold - Neighborhood Network - HMO
- Blue StandardHealth Silver - Neighborhood Network - HMO
- Bronze Classic 4700 - HMO
- Bronze Classic Standard - HMO
- Bronze Elite + PCP Saver Plus - HMO
- Gold Classic - HMO
- Gold Classic Standard - HMO
- Secure - HMO
- Silver Classic Standard - HMO
- Silver Elite Saver Plus - HMO
- Silver Simple Chronic Care CKM - HMO
- Silver Simple PCP Saver - HMO
- Silver Simple Specialist Saver with COPD - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Anesthesia for exam of colon using an endoscope
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
This service was performed 11 times for 11 patientsOverall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 88.66, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
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Final Score: 88.66 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
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Quality Score: N/A
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
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Promoting Interoperability Score: 100
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: 62.2
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: 62.2
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Implementation of formal quality improvement methods, practice changes, or other practice improvement processes | Yes | N/A |
| Adopt a formal model for quality improvement and create a culture in which all staff actively participates in improvement activities that could include one or more of the following such as: • Multi-Source Feedback; • Train all staff in quality improvement methods; • Integrate practice change/quality improvement into staff duties; • Engage all staff in identifying and testing practices changes; • Designate regular team meetings to review data and plan improvement cycles; • Promote transparency and accelerate improvement by sharing practice level and panel level quality of care, patient experience and utilization data with staff; and/or • Promote transparency and engage patients and families by sharing practice level quality of care, patient experience and utilization data with patients and families, including activities in which clinicians act upon patient experience data. | ||
| Participation in an AHRQ-listed patient safety organization. | Yes | N/A |
| Participation in an AHRQ-listed patient safety organization. | ||
| Participation in Joint Commission Evaluation Initiative | Yes | N/A |
| Participation in Joint Commission Ongoing Professional Practice Evaluation initiative | ||
| Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU) | 85% | 26 |
| Percentage of patients, regardless of age, who are under the care of an anesthesia practitioner and are admitted to a PACU or other non-ICU location in which a post-anesthetic formal transfer of care protocol or checklist which includes the key transfer of care elements is utilized | ||
| Pre-operative OSA assessment | 89% | 46 |
| Percentage of patients who undergo a surgical procedure in the operating room/procedure room that have a pre-operative assessment for Obstructive Sleep Apnea (OSA) | ||
| Use of QCDR data for ongoing practice assessment and improvements | Yes | N/A |
| Use of QCDR data, for ongoing practice assessment and improvements in patient safety. | ||
| Use of QCDR to promote standard practices, tools and processes in practice for improvement in care coordination | Yes | N/A |
| Participation in a Qualified Clinical Data Registry, demonstrating performance of activities that promote use of standard practices, tools and processes for quality improvement (e.g., documented preventative screening and vaccinations that can be shared across MIPS eligible clinician or groups). | ||
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 1 | 8 | 3 | 2 | 4 | 0 | 3 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 2 | 8 | 6 | 2 | 8 | 0 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 2 + 8 + 6 + 2 + 8 + 0 + 6 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1518324037 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1447714654 | JOVELYN TUQUIERO BRIDGES PTA Individual | Physical Therapy Assistant | 1901 CLINCH AVE KNOXVILLE, TN 37916 (865) 640-5976 |
| 1346622685 | ARCHANA WADHAWAN Individual | Emergency Medicine | 1901 CLINCH AVE KNOXVILLE, TN 37916 (865) 541-1111 |
| 1467985754 | TRAVIS KERR Individual | Emergency Medicine | 1901 CLINCH AVE KNOXVILLE, TN 37916 (865) 311-1111 |
| 1467926063 | MRS. RACHEL MARIA IGNOMIRELLO MS, RDN, CSOWM, LDN Individual | Dietitian, Registered | 1901 CLINCH AVE KNOXVILLE, TN 37916 (865) 331-1535 |
| 1629691076 | JOSHUA STEPHEN CARTER RN Individual | Nurse Anesthetist, Certified Registered | 1901 CLINCH AVE KNOXVILLE, TN 37916 (865) 331-1111 |
| 1427518182 | SARA L MYERS NP Individual | Nurse Practitioner | 1901 CLINCH AVE KNOXVILLE, TN 37916 (865) 541-1111 |
| 1972076875 | SHANNON JACKSON CRNA Individual | Nurse Anesthetist, Certified Registered | 1901 CLINCH AVE KNOXVILLE, TN 37916 (865) 541-1111 |
| 1578145694 | ANDREW SLIGER Individual | Occupational Therapist | 1901 CLINCH AVE KNOXVILLE, TN 37916 (865) 331-1111 |
| 1346815453 | SARAH RENEE SPIRES COTA/L Individual | Occupational Therapy Assistant | 1901 CLINCH AVE KNOXVILLE, TN 37916 (865) 331-2127 |
| 1275591505 | SHARON ELAINE GLASS M.D. Individual | Physical Medicine & Rehabilitation | 1901 CLINCH AVE KNOXVILLE, TN 37916 (865) 310-1395 |
| 1194990218 | DR. NICHOLAS PHILIP DOIRON MD Individual | Anesthesiology | 1901 CLINCH AVE KNOXVILLE, TN 37916 (865) 255-1459 |
| 1043438443 | MR. MARK WAYNE JACKSON CRNA Individual | Nurse Anesthetist, Certified Registered | 1901 CLINCH AVE KNOXVILLE, TN 37916 (865) 331-1111 |
| 1346794278 | MS. KIM ROLFSEN CRNA Individual | Nurse Anesthetist, Certified Registered | 1901 CLINCH AVE KNOXVILLE, TN 37916 (865) 331-1111 |
| 1548890247 | MR. JORDAN RILEY CORMACK PHYSICIAN ASSISTANT Individual | Physician Assistant (Medical) | 1901 CLINCH AVE KNOXVILLE, TN 37916 (865) 541-1111 |
| 1497308282 | MONICA LINDSEY Individual | Nurse Anesthetist, Certified Registered | 1901 CLINCH AVE KNOXVILLE, TN 37916 (865) 541-1111 |
| 1306575014 | DR. MARK TIMOTHY CRESAP DNP, CRNA Individual | Nurse Anesthetist, Certified Registered | 1901 CLINCH AVE KNOXVILLE, TN 37916 (865) 541-1111 |
| 1669189676 | ISAIAH MULLENS PTA Individual | Physical Therapy Assistant | 1901 CLINCH AVE KNOXVILLE, TN 37916 (865) 331-1111 |
| 1003368259 | JAMES RYAN WALLACE CRNA Individual | Nurse Anesthetist, Certified Registered | 1901 CLINCH AVE KNOXVILLE, TN 37916 (865) 342-9098 |
| 1255884805 | SARAH COMBS CRNA Individual | Nurse Anesthetist, Certified Registered | 1901 CLINCH AVE KNOXVILLE, TN 37916 (865) 541-1111 |
| 1700573870 | MR. ALEXANDER RYAN RAINES OTR/L Individual | Occupational Therapist | 1901 CLINCH AVE KNOXVILLE, TN 37916 (865) 331-1111 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1518324037, enumerated in the NPI registry as an "individual" on January 28, 2016
The provider is located at 1901 Clinch Ave Knoxville, Tn 37916 and the phone number is (865) 541-1111
The provider's speciality is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X
The provider might be accepting Accepts: Blue Cross Blue Shield of Arizona and Oscar Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider has an overall high rating in the following quality measures: uses technology to exchange and make use of healthcare information.
The most common procedures or services performed by this practitioner are: Anesthesia for exam of colon using an endoscope.
This NPI record was last updated on January 28, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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