Individual provider Active NPI

Carey B Simon, CRNA

  • Certified Registered Nurse Anesthetist
  • Delta, CO
National Provider Identifier
1033428941
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APN.0991673-CRNA Issued in CO
Practice address
1501 E 3Rd St
Delta, CO 81416-2815
Phone
(970) 874-2255
NPI assigned
Sep 28, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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 APN.0991673-CRNA CO Primary

Addresses

Primary practice location

1501 E 3Rd St
Delta, CO 81416-2815

Mailing address

13950 Larkspur Dr
Montrose, CO 81403-9387
Phone (720) 939-5138

Other practice location 1

13950 Larkspur Dr
Montrose, CO 81403-9387
Phone (970) 964-9379

Other practice location 2

800 S 3rd St
Montrose, CO 81401-4212
Phone (970) 249-2211

Other practice location 3

401 Kendall Dr
LaMar, CO 81052-3993
Phone (719) 336-4343

Other identifiers 4

IdentifierTypeStateIssuer
84143963015MedicaidNE
P01410586OtherCORR MEDICARE
15905535MedicaidCO
138996300MedicaidWY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141229000348 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 7517140262 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delta County Memorial HospitalGroup PAC ID 1850200601, 107 clinicians
Timberline Anesthesia Partners LLCGroup PAC ID 7719361104, 14 clinicians

Practice addresses (Care Compare)

1501 E 3Rd St
Delta Health
Delta, CO 81416-2815
Phone (970) 874-7681

800 S 3Rd St
Montrose, CO 81401-4212
Phone (970) 249-2211

Hospital & facility affiliations

  • Delta County Memorial Hospital Hospital, Delta, CO, CCN 060071

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.0991673-CRNACOMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Delta County Memorial Hospital CurrentSince Aug 1, 2020 Accepting new patients
Delta County Memorial Hospital Current Accepting new patients
Timberline Anesthesia Partners LLC CurrentSince Mar 26, 2025 Accepting new patients
Guardian Anesthesia Services, Inc CurrentSince Jul 1, 2015 Accepting new patients
Larkspur Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 5, 2023 Accepting new patients
Delta County Memorial Hospital CurrentSince Aug 1, 2020 Accepting new patients
Laboratory Corportation of America Holdings Past Accepting new patients

Locations

236 Cottonwood St
Delta, CO 81416
Phone (970) 874-7681

1450 Burgess St
Delta, CO 81416
Phone (970) 874-7668

1501 E 3rd St
Delta, CO 81416
Phone (970) 874-2470

2525 S Downing St
Denver, CO 80210
Phone (303) 744-2706

1120 Wellington Ave
Ste 206
Grand Junction, CO 81501
Phone (970) 243-7245

800 S 3rd St
Montrose, CO 81401
Phone (970) 240-2211

9395 Crown Crest Blvd
Parker, CO 80138
Phone (303) 269-4000

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 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": "1285632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1033428941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13950 LARKSPUR DR",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814039387",
            "telephone_number": "720-939-5138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 E 3RD ST",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814162815",
            "telephone_number": "970-874-2255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13950 Larkspur Dr",
            "address_purpose": "LOCATION",
            "city": "Montrose",
            "state": "CO",
            "postal_code": "814039387",
            "country_code": "US",
            "telephone_number": "970-964-9379",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 S 3rd St",
            "address_purpose": "LOCATION",
            "city": "Montrose",
            "state": "CO",
            "postal_code": "814014212",
            "country_code": "US",
            "telephone_number": "970-249-2211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 Kendall Dr",
            "address_purpose": "LOCATION",
            "city": "LaMar",
            "state": "CO",
            "postal_code": "810523993",
            "country_code": "US",
            "telephone_number": "719-336-4343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMON",
        "first_name": "CAREY",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-28",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CO",
            "license": "APN.0991673-CRNA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "84143963015",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01410586",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15905535",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138996300",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delta, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; 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.