Cameron Joseph McCoy
NPI 1639915762ActiveIndividual· Nurse Anesthetist, Certified Registered· Broken Arrow, OK
Nurse Anesthetist, Certified Registered with Anesthesia Medical Group, P.C., practicing in Broken Arrow, Oklahoma. Enrolled in Medicare as practitioner - certified registered nurse anesthetist (crna). Lists Tristar Summit Medical Center as a hospital affiliation.
Overview
| NPI | 1639915762 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Jul 8, 2024 |
| Last updated in NPPES | Aug 5, 2025 |
| Certified by provider | Aug 5, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | 38974 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Certified Registered Nurse Anesthetist (CRNA) (TN) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical group
- Anesthesia Medical Group, P.C.Nashville, TN · 437 clinicians
Hospital affiliation
- Tristar Summit Medical CenterHermitage, TN
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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