Christopher Cowley, CRNA | NPI 1104255892

Key facts

NPI: 1104255892
Entity type: Individual (NPI type 1)
Primary specialty: Certified Registered Nurse Anesthetist 367500000X
License: 434 (AK)
Practice address: 5955 Zeamer Ave
673 MDG
Jber, AK 99506
Phone: (907) 580-1815
NPI assigned: Nov 4, 2013
Sex: Male
Sole proprietor: Yes

Organizations & group practices 3

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.

Tanana Valley Clinic LLC Multi-Specialty Clinic/Center · Fairbanks, AK · NPI 1922559558

Medicare reassignment Care Compare group NPD AK
Tanana Valley Clinic LLC Multi-Specialty Clinic/Center · Fairbanks, AK · NPI 1073081485

NPD
Alaska Spine Center, LLC Ambulatory Surgical Clinic/Center · Anchorage, AK · NPI 1093710717

NPD (past)

Hospital & facility affiliations 1

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

Fairbanks Memorial Hospital, LLC General Acute Care Hospital · Fairbanks, AK · NPI 1720537178

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Certified Registered Nurse Anesthetist (Crna)
Education: Other, 2013
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Tanana Valley Clinic LLC (142 clinicians)

Practice addresses (Care Compare)

1650 Cowles St
Fairbanks, AK 99701-5907
Phone (907) 459-3500

Hospital & facility affiliations

Fairbanks Memorial Hospital Hospital · Fairbanks, AK · CCN 020012

Merit-based Incentive Payment System (MIPS)

Final score: 92.86 of 100 (group)
Quality: 94.88
Promoting interoperability: 100
Improvement activities: 40
Cost: 79.39

Medicare participation

Medicare fee-for-service enrollment: Enrolled in AK

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20140729002908	AK	Practitioner - Certified Registered Nurse Anesthetist (Crna)	1850517723	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Certified Registered Nurse

State licenses

License	State	Type	Specialty
434	AK	MD	Certified Registered Nurse Anesthetist

Practice roles

Organization	Status	New patients
Tanana Valley Clinic LLC	Current since May 1, 2022	Accepting new patients
Tanana Valley Clinic LLC	Current since May 1, 2022	Accepting new patients
Alaska Spine Center, LLC	Past	Accepting new patients

Locations

1650 Cowles St
Fairbanks, AK 99701
Phone (907) 452-8181

1001 Noble St
Fairbanks, AK 99701
Phone (907) 276-2806

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Certified Registered Nurse Anesthetist	367500000X	434	AK	Yes

Addresses

Primary practice location

5955 Zeamer Ave
673 MDG
Jber, AK 99506

Mailing address

1650 Cowles St
Fairbanks, AK 99701-5907
Phone (907) 458-3629

Other providers in Jber, AK

All providers in Jber, AK · Certified Registered Nurse Anesthetist in Alaska

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Medicare Care Compare provider data (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.