NPIMap

Individual provider Active NPI

Krista L Sizemore, CRNA

  • Certified Registered Nurse Anesthetist
  • Fayetteville, WV
National Provider Identifier
1003964008
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
48679 Issued in WV
Practice address
613 Crooked Run Rd
Fayetteville, WV 25840
Phone
(304) 574-6027
Fax
(304) 574-6027
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 48679 WV Primary

Addresses

Primary practice location

613 Crooked Run Rd
Fayetteville, WV 25840

Mailing address

PO Box 1012
Princeton, WV 24740-1012
Phone (304) 574-6027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040611001090 WV Practitioner - Certified Registered Nurse Anesthetist (Crna) 9739162462 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstream Anesthesia PLLCGroup PAC ID 7416198049, 571 clinicians

Practice addresses (Care Compare)

430 Main St
Oak Hill, WV 25901-3455
Phone (304) 469-8600

Hospital & facility affiliations

  • Camc Plateau Medical Center, Inc Hospital, Oak Hill, WV, CCN 511317
  • Charleston Area Medical Center Hospital, Charleston, WV, CCN 510022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
48679WVMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia Health Care Cooperative Inc Current Accepting new patients
West Virginia Health Care Cooperative Inc CurrentSince Oct 19, 2019 Accepting new patients
Safe & Sound Anesthesia Services LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2023 Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 15, 2016 Accepting new patients
Day Surgery Limited Liability Past Accepting new patients
Makit Anesthesia Inc Nurse Anesthetist, Certified Registered Past Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients
Day Surgery Limited Liability Past Accepting new patients

Locations

84 Brookshire Ln
Beckley, WV 25801
Phone (304) 255-2341

1710 Harper Rd
Beckley, WV 25801
Phone (304) 252-0641

430 Main St W
Oak Hill, WV 25901
Phone (276) 325-0678

400 Fairview Heights Rd
Summersville, WV 26651
Phone (304) 872-2891

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1003964008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1012",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247401012",
            "telephone_number": "304-574-6027",
            "fax_number": "304-574-6027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 CROOKED RUN RD",
            "city": "FAYETTEVILLE",
            "state": "WV",
            "postal_code": "25840",
            "telephone_number": "304-574-6027",
            "fax_number": "304-574-6027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIZEMORE",
        "first_name": "KRISTA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WV",
            "license": "48679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.