Robert Craig Anderson, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Apple Valley, CA
NPI 1003010182 · NPPES record last updated Mar 3, 2008
Key facts
- NPI
- 1003010182
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- RN467243 (CA)
- Practice address
- 18300 US Highway 18
Apple Valley, CA 92307-2206 - Phone
- (760) 242-2311
- NPI assigned
- Jun 13, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Baylor College of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Public Hospital District No 1 of Mason County
Practice addresses (Care Compare)
901 Mountain View Dr
Suite 1
Shelton, WA 98584-4401
Phone (360) 427-3625
Hospital & facility affiliations
- Mason General Hospital & Family of Clinics
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090811000657 | WA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 5496732463 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN467243 | CA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Public Hospital District No 1 of Mason County | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Public Hospital District No 1 of Mason County Wa | Current |
Accepting new patients | |
| Anesthesia Consultants of the Desert, Inc | Past | Accepting new patients |
Locations
400 10th St E
Waconia, MN 55387
901 Mountain View Dr
Bldg 1
Shelton, WA 98584
Phone (360) 426-1611
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/ed3f5ef0-1e43-4472-a811-c1c95f23d109/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN467243 | CA | Yes |
Addresses
Primary practice location
18300 US Highway 18
Apple Valley, CA 92307-2206
Mailing address
PO Box 31001-1838
Pasadena, CA 91110-0001
Phone (800) 394-4445
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN4672430 | Medicaid | CA |
Other providers in Apple Valley, CA
- Anand Gandhi MD Inc
- Anaya Womens OBGYN Group Inc
- Codi Jo Andersen
- Erica Lynn Anderson
- Michelle Marie Anderson
- Stephen Anderson
- Tre'Nise Je'Mel Anderson
- Autumn Andrade
- Rose Kathleen Andrade
- Karyn D Andreasen
All providers in Apple Valley, CA · Certified Registered Nurse Anesthetist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.