NPIMap

Individual provider Active NPI

Sarah Holly Godsey, CRNA

  • Certified Registered Nurse Anesthetist
  • Soldotna, AK
National Provider Identifier
1063706620
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
380 Issued in AK
Practice address
250 Hospital PL
Soldotna, AK 99669-6999
Phone
(907) 714-4404
NPI assigned
Jun 1, 2011
Last updated
Oct 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 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 380 AK Primary

Addresses

Primary practice location

250 Hospital PL
Soldotna, AK 99669-6999

Mailing address

6402 Lone Tree Cir
Anchorage, AK 99507

Other practice location 1

4315 Diplomacy Dr
Anchorage, AK 99508-5926
Phone (907) 729-2200

Other identifiers 1

IdentifierTypeStateIssuer
1575207MedicaidAK

Other names 1

  • Mrs. Sarah Holly Moore Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sgodsey2525612@ak.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120209000468 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 5698932283 Reassigns benefits to 1 organization
I20140826002975 AK Practitioner - Certified Registered Nurse Anesthetist (Crna) 5698932283 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Consultants of Fairbanks LLCGroup PAC ID 9234566340, 9 clinicians

Practice addresses (Care Compare)

2310 Peger Rd
Fairbanks, AK 99709-5305
Phone (469) 437-3564

250 Hospital PL
Soldotna, AK 99669-7559
Phone (907) 714-4515

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.44 of 100Reported as group
Quality
62.56
Promoting interoperability
81
Improvement activities
40
Cost
67.88

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
380AKMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Chugach Anesthesia, LLC CurrentSince Jun 3, 2014 Accepting new patients
North Star Medical Imaging PLLC Current Accepting new patients
Central Peninsula General Hospital, Inc CurrentSince Oct 3, 2022 Accepting new patients
South Peninsula Hospital, Inc CurrentSince Apr 1, 2019 Accepting new patients
New Frontier Anesthesia, LLC CurrentSince Sep 15, 2019 Accepting new patients
Anesthesia Consultants of Fairbanks LLC CurrentSince Apr 1, 2026 Accepting new patients
Central Peninsula General Hospital Inc CurrentSince Oct 3, 2022 Accepting new patients
Alaska Native Tribal Health Consortium CurrentSince Nov 20, 2011 Accepting new patients
Central Peninsula General Hospital Inc. Current Accepting new patients
South Peninsula Hospital, Inc. CurrentSince Apr 1, 2019 Accepting new patients
Alpine Anesthesia LLC CurrentSince Jan 29, 2020 Accepting new patients
Alaska Spine Center, LLC Past Accepting new patients

Locations

1230 Northway Dr
Anchorage, AK 99508
Phone (907) 550-6100

3831 Piper St
Ste S110
Anchorage, AK 99508
Phone (907) 261-7135

4001 Laurel St
Ste A
Anchorage, AK 99508
Phone (907) 563-1800

4100 Lake Otis Pkwy
Ste 212
Anchorage, AK 99508
Phone (907) 550-6100

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

2310 Peger Rd
Fairbanks, AK 99709
Phone (907) 458-7263

4300 Bartlett St
Homer, AK 99603
Phone (907) 235-0369

100 Trading Bay Rd
Ste 9
Kenai, AK 99611
Phone (907) 335-2580

250 Hospital Pl
Soldotna, AK 99669
Phone (907) 714-4404

14700 28th Ave N
Ste 20
Plymouth, MN 55447
Phone (612) 559-3779

Interoperability endpoints

  • Direct secure messaging: sgodsey2525612@ak.providencedirect.org

Organizations & group practices 12

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.

Hospital & facility affiliations 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1306886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1063706620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6402 LONE TREE CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 HOSPITAL PL",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996696999",
            "telephone_number": "907-714-4404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4315 Diplomacy Dr",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995085926",
            "country_code": "US",
            "telephone_number": "907-729-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GODSEY",
        "first_name": "SARAH",
        "middle_name": "HOLLY",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-01",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AK",
            "license": "380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1575207",
            "state": "AK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sgodsey2525612@ak.providencedirect.org",
            "affiliation": "N",
            "endpointDescription": "Provider direct messaging address",
            "address_1": "250 Hospital Pl",
            "city": "Soldotna",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996696999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "MOORE",
            "middle_name": "HOLLY",
            "prefix": "MRS.",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Soldotna, AK

Sources for this page

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