Individual provider Active NPI

Cathy Ann Leake Rogers, CRNA

  • Certified Registered Nurse Anesthetist
  • Evansville, IN
National Provider Identifier
1063434470
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
CRNA-66208 Issued in NM
Practice address
1528 Victoria Green Blvd
Evansville, IN 47715-5986
Phone
(812) 454-6029
NPI assigned
Jul 24, 2006
Last updated
Mar 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 530355 TX
Certified Registered Nurse Anesthetist 367500000X 28151018A IN
Certified Registered Nurse Anesthetist 367500000X 10020234 OR
Certified Registered Nurse Anesthetist 367500000X 3572A KY
Certified Registered Nurse Anesthetist 367500000X 2001018353 MO
Certified Registered Nurse Anesthetist 367500000X CRNA-66208 NM Primary

Addresses

Primary practice location

1528 Victoria Green Blvd
Evansville, IN 47715-5986

Mailing address

2669 Scenic Dr
Alamogordo, NM 88310-8700
Phone (575) 443-7565

Other identifiers 2

IdentifierTypeStateIssuer
200374720AMedicaidIN
1174541981OtherINNEWBURGH ANESTHESIA ASSOCIATES, LLC GROUP NPI #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, NM, OR3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040224000734 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 6002702388 Reassigns benefits to 4 organizations
I20211222000807 NM Practitioner - Certified Registered Nurse Anesthetist (Crna) 6002702388 Reassigns benefits to 1 organization
I20240308003449 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 6002702388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America - Anesthesia PCGroup PAC ID 3678897915, 849 clinicians

Practice addresses (Care Compare)

2700 NW Stewart Pkwy
Roseburg, OR 97471-1281
Phone (541) 673-0611

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28151018AINMDCertified Registered Nurse Anesthetist
3572AKYMDCertified Registered Nurse Anesthetist
CRNA-66208NMMDCertified Registered Nurse Anesthetist
530355TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - Anesthesia PC CurrentSince Feb 27, 2024 Accepting new patients
Cep America - Anesthesia PC CurrentSince Feb 27, 2024 Accepting new patients
Otero County Hospital Association CurrentSince Dec 22, 2021 Accepting new patients
Deaconess Hospital, Inc Current Accepting new patients
Ephraim McDowell Health Resource, Inc. Current Accepting new patients
Gibson General Hospital Inc. CurrentSince Dec 27, 2016 Accepting new patients
Gibson General Hospital, Inc CurrentSince Dec 27, 2016 Accepting new patients
Deaconess Hospital, Inc Nurse Anesthetist, Certified Registered CurrentSince Aug 5, 2013 Accepting new patients
Methodist Health, Inc. Current Accepting new patients
Otero County Hospital Association CurrentSince Dec 22, 2021 Accepting new patients
Hannibal Regional Healthcare System Inc Past Accepting new patients
Florida Gulf-to-Bay Anesthesiology Associates, LLC Past Accepting new patients
St. Mary's Warrick Hospital, Inc Past Accepting new patients
Newburgh Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

600 Mary St
Evansville, IN 47710
Phone (812) 450-2239

1808 Sherman Dr
Princeton, IN 47670
Phone (812) 385-3401

1808 Sherman Dr
Ste 2209
Princeton, IN 47670
Phone (812) 385-9420

109 Daniel Dr
Danville, KY 40422
Phone (859) 236-3361

216 W Walnut St
Ste A
Danville, KY 40422
Phone (859) 239-5870

1305 N Elm St
Henderson, KY 42420
Phone (270) 827-7100

2669 Scenic Dr
Alamogordo, NM 88310
Phone (505) 439-6100

2700 NW Stewart Pkwy
Roseburg, OR 97471
Phone (541) 673-0611

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602

Organizations & group practices 15

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

View all 15

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1063434470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2669 SCENIC DR",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883108700",
            "telephone_number": "575-443-7565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 VICTORIA GREEN BLVD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477155986",
            "telephone_number": "812-454-6029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "CATHY",
        "middle_name": "ANN LEAKE",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "530355",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "28151018A",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OR",
            "license": "10020234",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "3572A",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "2001018353",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NM",
            "license": "CRNA-66208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200374720A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEWBURGH ANESTHESIA ASSOCIATES, LLC GROUP NPI #",
            "identifier": "1174541981",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.