Individual provider Active NPI

Kristina Marie Derolf, CRNA

  • Certified Registered Nurse Anesthetist
  • Munster, IN
National Provider Identifier
1093090680
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
209029863 Issued in IL
Practice address
901 Macarthur Blvd
Munster, IN 46321-2901
Phone
(219) 836-1600
NPI assigned
Oct 15, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 28200112A IN
Registered Nurse 163W00000X 041342122 IL
Certified Registered Nurse Anesthetist 367500000X 28200112A IN
Certified Registered Nurse Anesthetist 367500000X 209029863 IL Primary

Addresses

Primary practice location

901 Macarthur Blvd
Munster, IN 46321-2901

Mailing address

901 Macarthur Blvd
Munster, IN 46321-2901
Phone (219) 836-1600

Other names 1

  • Kristina Marie Varro Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130415000397 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 7315183472 Reassigns benefits to 6 organizations
I20240627000962 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 7315183472 Reassigns benefits to 1 organization

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
North American Partners in Anesthesia Illinois LLCGroup PAC ID 1052576519, 431 clinicians
Anesthesia Dynamics LLCGroup PAC ID 3779832530, 883 clinicians
Redreef Anesthesia Associates Chartered Indiana LLCGroup PAC ID 7012459647, 36 clinicians

Practice addresses (Care Compare)

2800 W 95TH St
Evergreen, IL 60805-2701
Phone (708) 422-6200

4411 Washington Ave
Suite 100
Evansville, IN 47714-0805
Phone (313) 637-9861

600 Grant St
Gary, IN 46402-6001
Phone (888) 851-4642

Hospital & facility affiliations

  • Methodist Hospitals Inc Hospital, Gary, IN, CCN 150002

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041342122ILMDRegistered Nurse
28200112AINMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
St Catherine Hospital Inc CurrentSince Mar 12, 2013 Accepting new patients
St. Catherine Hospital Inc. CurrentSince Mar 12, 2013 Accepting new patients
Bindal Anesthesiologists, LTD CurrentSince Dec 1, 2022 Accepting new patients
Redreef Anesthesia Associates Chartered Indiana LLC CurrentSince Apr 25, 2024 Accepting new patients
St Catherine Hospital Inc Current Accepting new patients
Munster Medical Research Foundation, Inc. CurrentSince Jan 7, 2013 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2023 Accepting new patients
Northstar Anesthesia of Indiana II, LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 12, 2021 Accepting new patients
North American Partners in Anesthesia (Illinois), LLC CurrentSince Jun 1, 2024 Accepting new patients
Northstar Anesthesia of Indiana LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2019 Accepting new patients
Munster Medical Research Foundation Inc Nurse Anesthetist, Certified Registered CurrentSince Jan 7, 2013 Accepting new patients
South Chicago Sleep Lab, Inc. Past Accepting new patients

Locations

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

2800 W 95th St
Evergreen Pk, IL 60805
Phone (708) 229-5104

12800 Mississippi Pkwy
Crown Point, IN 46307
Phone (219) 662-5560

11051 Broadway
Ste B
Crown Point, IN 46307
Phone (219) 308-0193

24 Joliet St
Dyer, IN 46311
Phone (219) 864-2237

4321 Fir St
East Chicago, IN 46312
Phone (219) 392-1700

4411 Washington Ave
Ste 100
Evansville, IN 47714
Phone (313) 637-9861

1101 Michigan Ave
Logansport, IN 46947
Phone (574) 753-1475

315 W 89th Ave
Merrillville, IN 46410
Phone (219) 712-0821

8701 Broadway
Merrillville, IN 46410
Phone (219) 738-4926

701 Superior Ave
Munster, IN 46321
Phone (219) 922-4200

8840 Calumet Ave
Ste 104
Munster, IN 46321
Phone (219) 513-9582

541 Otis Bowen Dr
Munster, IN 46321

901 MacArthur Blvd
Munster, IN 46321
Phone (219) 703-1443

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

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 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": "1318636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1093090680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 MACARTHUR BLVD",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212901",
            "telephone_number": "219-836-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 MACARTHUR BLVD",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212901",
            "telephone_number": "219-836-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEROLF",
        "first_name": "KRISTINA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-15",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28200112A",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041342122",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "28200112A",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209029863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINA",
            "last_name": "VARRO",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Munster, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.