Individual provider Active NPI

Colleen Marie Stallmer, CRNA

  • Certified Registered Nurse Anesthetist
  • National City, CA
National Provider Identifier
1063486512
Registry record updated Apr 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
466411 Issued in CA
Practice address
2400 E 4TH St
National City, CA 91950-2026
Phone
(619) 470-4321
NPI assigned
Feb 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2010

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 466411 CA Primary

Addresses

Primary practice location

2400 E 4TH St
National City, CA 91950-2026

Mailing address

13352 Granite Creek Rd
San Diego, CA 92128-4072
Phone (858) 391-8162

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090917000683 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7315093226 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Temecula Ca United Surgery Center, LP CurrentSince Dec 23, 2015 Accepting new patients
Escondido Ca Endoscopy ASC LP CurrentSince Jul 1, 2010 Accepting new patients
Escondido Ca Endoscopy ASC LP CurrentSince Jul 1, 2010 Accepting new patients
Temecula Ca Endoscopy ASC LP CurrentSince Sep 21, 2009 Accepting new patients
Temecula Ca Endoscopy ASC LP Current Accepting new patients
Temecula Ca United Surgery Center LP CurrentSince Dec 23, 2015 Accepting new patients
Comprehensive Anesthesia, a California Nursing Corporation Nurse Anesthetist, Certified Registered CurrentSince Feb 15, 2010 Accepting new patients

Locations

488 E Valley Pkwy
Ste 110
Escondido, CA 92025
Phone (760) 735-6290

1332 W Herndon Ave
Ste 102
Fresno, CA 93711
Phone (559) 440-9640

25150 Hancock Ave
Ste 208
Murrieta, CA 92562
Phone (951) 698-8805

31469 Rancho Pueblo Rd
Ste 100
Temecula, CA 92592
Phone (951) 249-5540

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.

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270598400000",
    "number": "1063486512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13352 GRANITE CREEK RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921284072",
            "telephone_number": "858-391-8162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 E 4TH ST",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502026",
            "telephone_number": "619-470-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALLMER",
        "first_name": "COLLEEN",
        "middle_name": "MARIE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-13",
        "last_updated": "2010-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "466411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in National City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2010; 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.