DAWN CHERI MCGAFFICK CRNA
NPI 1639689813
Nurse Anesthetist, Certified Registered in Knoxville, TN
NPI Status: Active since October 02, 2017
Contact Information
1431 CENTERPOINT BLVD STE 100
KNOXVILLE, TN
ZIP 37932
Phone: (865) 985-7049
- Individual
- Female
- Years of Experience 9
- Nurse Anesthetist, Certified Registered
- Accepts Insurance
- May Accept Medicare Approved Payment
About DAWN MCGAFFICK
This page provides the complete NPI Profile along with additional information for Dawn Mcgaffick, a provider established in Knoxville, Tennessee with a medical specialization in Nurse Anesthetist, Certified Registered and more than 9 years of experience. The healthcare provider is registered in the NPI registry with number 1639689813 assigned on October 2017. The practitioner's primary taxonomy code is 367500000X with license number 119254 (WI). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1639689813
- Provider Name
- DAWN CHERI MCGAFFICK CRNA
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1431 CENTERPOINT BLVD STE 100 KNOXVILLE, TN 37932
- Location Phone
- (865) 985-7049
- Mailing Address
- N54W17744 WALNUT WAY DR MENOMONEE FALLS, WI 53051
- Mailing Phone
- (414) 559-5888
- Medical School Name
- OTHER
- Graduation Year
- 2017
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-02-2017
- Last Update Date
- 06-13-2024
- Code Navigator
Location Map
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.
- 119254
- License State
- WI
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network - EPO
- CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network (Vision Exam) - EPO
- CGHC Bronze $9200 ($40 PCP Copay) - Envision Network - EPO
- CGHC Bronze $9200 ($40 PCP Copay) - Envision Network (Vision Exam) - EPO
- CGHC Bronze Standard $7500 - Envision Network - EPO
- CGHC Bronze Standard $7500 - Envision Network (Vision Exam) - EPO
- CGHC Catastrophic $9200 - Envision Network - EPO
- CGHC Gold $0 Ded - Envision Network - EPO
- CGHC Gold $0 Ded - Envision Network (Vision Exam) - EPO
- CGHC Gold $3000 - Envision Network - EPO
- CGHC Gold $3000 - Envision Network (Vision Exam) - EPO
- CGHC Gold Standard $1500 - Envision Network - EPO
- CGHC Gold Standard $1500 - Envision Network (Vision Exam) - EPO
- CGHC Silver $4200 Ded / $5000 Rx Ded - Envision Network - EPO
- CGHC Silver $4200 Ded / $5000 Rx Ded - Envision Network (Vision Exam) - EPO
- CGHC Silver $4700 Ded / $6000 Rx Ded - Envision Network - EPO
- CGHC Silver $4700 Ded / $6000 Rx Ded - Envision Network (Vision Exam) - EPO
- CGHC Silver Standard $5000 - Envision Network - EPO
- CGHC Silver Standard $5000 - Envision Network (Vision Exam) - EPO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100072690 | MEDICAID (05) | WI |
Medicare Participation & PECOS Enrollment Status
Dawn Mcgaffick is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 6709143720
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20171130000028
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Maybe
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
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 other procedure on esophagus, stomach, or upper small bowel using an endoscope
Anesthesia for other procedure on large bowel using an endoscope
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
This service was performed 22 times for 21 patientsAnesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
This service was performed 17 times for 17 patientsFind Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Dawn Mcgaffick is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| ASCENSION ALL SAINTS HOSPITAL | 3801 SPRING ST RACINE, WI 53405 | (262) 687-4011 | Acute Care Hospitals | |
| WATERTOWN MEMORIAL HOSPITAL | 125 HOSPITAL DRIVE WATERTOWN, WI 53098 | (920) 261-4210 | Acute Care Hospitals |
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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 | 6 | 3 | 9 | 6 | 8 | 9 | 8 | 1 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 12 | 8 | 18 | 8 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 1 + 2 + 8 + 1 + 8 + 8 + 2 + 24 = 77 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 77 = 3 | 3 | ||||||||
The NPI number 1639689813 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 7 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1144221136 | DR. CHRISTIANA MARIE LIETZKE MD Individual | Internal Medicine | 1431 CENTERPOINT BLVD STE 100 TEAMHEALTH KNOXVILLE, TN 37932 (800) 539-0173 |
| 1548458375 | CARL DOUGLAS GOINS III PAC Individual | Physician Assistant | 1431 CENTERPOINT BLVD STE 100 KNOXVILLE, TN 37932 (865) 985-7012 |
| 1871098343 | REKAI DAWN WITHROW FNP-BC Individual | Nurse Practitioner | 1431 CENTERPOINT BLVD STE 100 KNOXVILLE, TN 37932 (888) 203-1274 |
| 1720535040 | BEVERLY ARLENE ELY FNP-C Individual | Nurse Practitioner | 1431 CENTERPOINT BLVD STE 100 KNOXVILLE, TN 37932 (865) 985-7193 |
| 1962693952 | HANNAH ELIZABETH BROWN APRN-BC Individual | Nurse Practitioner (Family) | 1431 CENTERPOINT BLVD STE 100 KNOXVILLE, TN 37932 (865) 985-7109 |
| 1265429013 | DR. CARRIE L HARVEY M.D. Individual | Radiology (Diagnostic Radiology) | 1431 CENTERPOINT BLVD STE 100 KNOXVILLE, TN 37932 (865) 985-7189 |
| 1649601212 | REBECCA JONES MELLOAN APRN Individual | Nurse Practitioner | 1431 CENTERPOINT BLVD STE 100 KNOXVILLE, TN 37932 (865) 539-8000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639689813, enumerated in the NPI registry as an "individual" on October 02, 2017
The provider is located at 1431 Centerpoint Blvd Ste 100 Knoxville, Tn 37932 and the phone number is (865) 985-7049
The provider's speciality is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X
The provider has more than 9 years of experience.
The provider might be accepting Accepts: Common Ground Healthcare Cooperative, Molina. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The most common procedures or services performed by this practitioner are: Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope and Anesthesia for other procedure on large bowel using an endoscope.
The practitioner is affiliated to the following hospital(s): ASCENSION ALL SAINTS HOSPITAL and WATERTOWN MEMORIAL HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on October 02, 2017. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.