Individual provider Active NPI

Christopher T Stake, CRNA

  • Certified Registered Nurse Anesthetist
  • Keene, NH
National Provider Identifier
1144467457
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
041-309854 Issued in IL
Practice address
Cheshire Medical Center
580 Court Street
Keene, NH 03431
Phone
(603) 354-5400
NPI assigned
Jan 9, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 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 041-309854 IL Primary

Addresses

Primary practice location

Cheshire Medical Center
580 Court Street
Keene, NH 03431

Mailing address

30 Olde English Rd
Bedford, NH 03110-5619
Phone (603) 487-0777

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200716003121 NH Practitioner - Certified Registered Nurse Anesthetist (Crna) 8628113297 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dartmouth-Hitchcock ClinicGroup PAC ID 4183537509, 1,445 clinicians

Practice addresses (Care Compare)

100 Hitchcock Way
Manchester, NH 03104-4125
Phone (603) 695-2500

Merit-based Incentive Payment System (MIPS)

Final score
79.66 of 100Reported as apm
Quality
53.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041-309854ILMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Amoskeag Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 16, 2024 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Oct 7, 2024 Accepting new patients
Mary Hitchcock Memorial Hospital Current Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Apr 5, 2023 Accepting new patients
Icon Anesthesia Services of New England LLC CurrentSince Apr 15, 2022 Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince May 19, 2021 Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Apr 5, 2023 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Oct 7, 2024 Accepting new patients
Concord Ophthalmologic Associates PA Past Accepting new patients

Locations

2 Pillsbury St
Ste 100
Concord, NH 03301
Phone (603) 224-2020

580 Court St
Keene, NH 03431
Phone (603) 354-5454

10 Alice Peck Day Dr
Lebanon, NH 03766
Phone (603) 448-7440

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

100 Hitchcock Way
Manchester, NH 03104
Phone (603) 629-1870

1 Elliot Way
Manchester, NH 03103
Phone (603) 663-2271

2300 Southwood Dr
Nashua, NH 03063
Phone (603) 577-4170

172 Kinsley St
Nashua, NH 03060
Phone (603) 595-3926

Organizations & group practices 9

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": "1231459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1144467457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 OLDE ENGLISH RD",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031105619",
            "telephone_number": "603-487-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CHESHIRE MEDICAL CENTER",
            "address_2": "580 COURT STREET",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "03431",
            "telephone_number": "603-354-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAKE",
        "first_name": "CHRISTOPHER",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-09",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "041-309854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keene, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.