Individual provider Active NPI

Kim M Schorer, CRNA

  • Certified Registered Nurse Anesthetist
  • Claremore, OK
National Provider Identifier
1023242302
Registry record updated Feb 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R0091777 Issued in OK
Practice address
17561 E 450 Rd
Claremore, OK 74017-0966
Phone
(509) 393-3708
NPI assigned
May 14, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2013

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 R0091777 OK Primary

Addresses

Primary practice location

17561 E 450 Rd
Claremore, OK 74017-0966

Mailing address

17561 E 450 Rd
Claremore, OK 74017-0966
Phone (509) 393-3708

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ID2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180123002204 WA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7416094842 Reassigns benefits to 2 organizations
I20220628002958 ID Practitioner - Certified Registered Nurse Anesthetist (Crna) 7416094842 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clallam County Public Hospital District No 1Group PAC ID 1557256468, 33 clinicians

Practice addresses (Care Compare)

390 Founders Way
Forks, WA 98331-9062
Phone (360) 374-6998

530 Bogachiel Way
Forks, WA 98331-9120
Phone (360) 374-6271

551 Bogachiel Way
Forks, WA 98331-9120
Phone (360) 374-5011

Hospital & facility affiliations

  • Forks Community Hospital Hospital, Forks, WA, CCN 501325

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0091777OKMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Gritman Medical Center Inc CurrentSince May 1, 2022 Accepting new patients
Gritman Medical Center Inc CurrentSince May 1, 2022 Accepting new patients
Gritman Medical Center Inc CurrentSince May 1, 2022 Accepting new patients
Clallam County Public Hospital District No 1 CurrentSince Nov 1, 2022 Accepting new patients
Gritman Medical Center Inc. CurrentSince May 1, 2022 Accepting new patients
Gritman Medical Center Inc Current Accepting new patients
Tahoma Anesthesiology Consultants PS Past Accepting new patients
Claremore Anesthesia LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Clallam County Public Hospital District No 1 Past Accepting new patients

Locations

700 S Main St
Moscow, ID 83843
Phone (208) 746-7555

719 S Main St
Moscow, ID 83843
Phone (208) 848-8300

390 Founders Way
Forks, WA 98331
Phone (360) 374-6271

530 Bogachiel Way
Forks, WA 98331
Phone (360) 374-5011

Interoperability endpoints

  • Direct secure messaging: kschorer780068@direct.multicare.org
  • FHIR API: https://api.qualifacts.org/api/fhir/forkshospital/r4/
  • Direct secure messaging: kschorer703039@direct.ochin.org

Organizations & group practices 10

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 1

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": "1242259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360627200000",
    "number": "1023242302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17561 E 450 RD",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740170966",
            "telephone_number": "509-393-3708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17561 E 450 RD",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740170966",
            "telephone_number": "509-393-3708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHORER",
        "first_name": "KIM",
        "middle_name": "M",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-14",
        "last_updated": "2013-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "R0091777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Claremore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; 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.