Individual provider Active NPI

Nicolette Brewer Hooge, CRNA

  • Certified Registered Nurse Anesthetist
  • Gunnison, CO
National Provider Identifier
1154571784
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
196470 Issued in NC
Practice address
112 W Spencer Ave Ste B
Gunnison, CO 81230-2546
Phone
(303) 422-9438
NPI assigned
Sep 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 196470 NC
Certified Registered Nurse Anesthetist 367500000X 196470 NC Primary

Addresses

Primary practice location

112 W Spencer Ave Ste B
Gunnison, CO 81230-2546

Mailing address

PO Box 668
Arvada, CO 80001-0668
Phone (303) 422-9438

Other practice location 1

3000 New Bern Ave
Raleigh, NC 27610-1231
Phone (919) 350-5645

Other identifiers 1

IdentifierTypeStateIssuer
8053345MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20081021000433 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 6800954850 Reassigns benefits to 2 organizations
I20240320000762 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 6800954850 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1803NCMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gate City Anesthesia, Inc Anesthesiology CurrentSince Mar 23, 2013 Accepting new patients
Gunnison Valley Hospital CurrentSince Dec 1, 2025 Accepting new patients
Gunnison Valley Hospital CurrentSince Dec 1, 2025 Accepting new patients
Duke University Health System, Inc. Nurse Anesthetist, Certified Registered CurrentSince Mar 24, 2014 Accepting new patients
Duke University Health System, Inc. CurrentSince Mar 24, 2014 Accepting new patients

Locations

112 W Spencer Ave
Gunnison, CO 81230
Phone (800) 734-2877

711 N Taylor St
Gunnison, CO 81230
Phone (970) 641-1456

112 W Spencer Ave
Ste B
Gunnison, CO 81230
Phone (970) 641-4522

5213 S Alston Ave
Durham, NC 27713
Phone (919) 620-4700

2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289

21A Oak Branch Dr
Greensboro, NC 27407
Phone (336) 478-2664

705 Green Valley Rd
Greensboro, NC 27408
Phone (336) 272-0012

Organizations & group practices 5

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": "1221696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1154571784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 668",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800010668",
            "telephone_number": "303-422-9438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W SPENCER AVE STE B",
            "city": "GUNNISON",
            "state": "CO",
            "postal_code": "812302546",
            "telephone_number": "303-422-9438"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 New Bern Ave",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276101231",
            "country_code": "US",
            "telephone_number": "919-350-5645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOOGE",
        "first_name": "NICOLETTE",
        "middle_name": "BREWER",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-18",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "196470",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "196470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8053345",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gunnison, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.