Conda Bates, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Logan, WV
NPI 1174580195 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1174580195
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 30465 (WV)
- Practice address
- 20 Hospital Drive
Logan, WV 25601 - Phone
- (304) 831-1138
- Fax
- (304) 831-1267
- NPI assigned
- Apr 26, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- US Anesthesia Partners of Florida Inc
Practice addresses (Care Compare)
1905 Clint Moore Rd
Suite 300
Boca Raton, FL 33496-2661
Phone (561) 544-5501
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.8 of 100
- Quality
- 99.47
- Improvement activities
- 40
- Cost
- 83.62
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090710000131 | FL | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 1759384522 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36346 | KY | MD | Female Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brevard Physician Associates, PLLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Ambulatory Surgery Center Support Services | Current |
Accepting new patients | |
| US Anesthesia Partners of Florida Inc. | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Center for Pain Relief, Inc. | Past | Accepting new patients | |
| Professional Anesthesia Service,Inc. | Past | Accepting new patients | |
| Appalachian Regional Healthcare, Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Appalachian Regional Healthcare, Inc. | Past | Accepting new patients | |
| Sheridan Healthcare of West Virginia Inc | Nurse Anesthetist, Certified Registered | Past |
Accepting new patients |
| Central Brevard Anesthesiologists, PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
1905 Clint Moore Rd
Ste 300
Boca Raton, FL 33496
Phone (561) 544-5501
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
719 E New Haven Ave
Melbourne, FL 32901
Phone (321) 727-2020
95 Bulldog Blvd
Ste 104
Melbourne, FL 32901
Phone (321) 952-9800
1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771
220 N Sykes Creek Pkwy
Ste 101
Merritt Island, FL 32953
Phone (321) 452-9799
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 30465 | WV | Yes |
Addresses
Primary practice location
20 Hospital Drive
Logan, WV 25601
Mailing address
20 Hospital Drive
Logan, WV 25601
Phone (304) 831-1138
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0068068000 | Medicaid | WV |
Other providers in Logan, WV
- Shawn Everett Ballard
- Debra Sue Barber
- Bradley Barnett
- Katelyn Elizabeth Barnhart
- Keirra Barrett
- Beckley Dermatology Inc.
- Amanda Lynn Belcher
- Larry Lee Belcher
- Skylar Belcher
- Brooke Bell
All providers in Logan, WV · Certified Registered Nurse Anesthetist in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.