Individual provider Active NPI

Christopher Oudekerk, CRNA

  • Certified Registered Nurse Anesthetist
  • Salida, CO
National Provider Identifier
1225023278
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
194240 Issued in NC
Practice address
11830 Rangeview Cir
Salida, CO 81201-8541
Phone
(252) 622-8289
NPI assigned
Sep 15, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 118864 GA
Certified Registered Nurse Anesthetist 367500000X 194240 NC Primary

Addresses

Primary practice location

11830 Rangeview Cir
Salida, CO 81201-8541

Mailing address

11830 Rangeview Cir
Salida, CO 81201-8541
Phone (252) 622-8289

Other practice location 1

22 S Greene St
Baltimore, MD 21201-1544
Phone (410) 328-6704

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240822000062 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 6204897432 Reassigns benefits to 2 organizations
I20250512001976 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6204897432 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
67.76 of 100Reported as group
Quality
62.07
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
118864GAMDCertified Registered Nurse Anesthetist
194240NCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
CPR Anesthesia, Inc Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2025 Accepting new patients
Ams Southeast LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 7, 2025 Accepting new patients
Monarch Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2024 Accepting new patients
Nurse Anesthesia of North Carolina, PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

715 N Weber St
Ste 100
Colorado Springs, CO 80903
Phone (719) 473-6115

1800 N Emerson St
Ste 200
Denver, CO 80218
Phone (303) 468-8844

55 Madison St
Ste 200
Denver, CO 80206
Phone (303) 388-0599

5060 S Syracuse St
Denver, CO 80237
Phone (303) 770-1056

1355 Riverside Ave
Ste C
Fort Collins, CO 80524
Phone (970) 449-8488

3800 Grant Ave
Loveland, CO 80538
Phone (970) 622-0608

1000 Rush Dr
Salida, CO 81201
Phone (719) 530-2265

2260 Wrightsboro Rd
Augusta, GA 30904
Phone (706) 481-7000

3131 Thomasville Hwy
Moultrie, GA 31768
Phone (229) 502-9769

Organizations & group practices 4

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": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1225023278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11830 RANGEVIEW CIR",
            "city": "SALIDA",
            "state": "CO",
            "postal_code": "812018541",
            "telephone_number": "252-622-8289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11830 RANGEVIEW CIR",
            "city": "SALIDA",
            "state": "CO",
            "postal_code": "812018541",
            "telephone_number": "252-622-8289"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 S Greene St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212011544",
            "country_code": "US",
            "telephone_number": "410-328-6704",
            "fax_number": "410-328-4124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OUDEKERK",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "118864",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "194240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salida, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.