Individual provider Active NPI

Doreen M Pecar, CRNA

  • Certified Registered Nurse Anesthetist
  • Idalia, CO
National Provider Identifier
1235445453
Registry record updated Aug 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
114048 Issued in CO
Practice address
30598 County Road 20
Idalia, CO 80735-9784
Phone
(970) 332-5915
NPI assigned
Aug 25, 2010
Last updated
Aug 25, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 114048 CO Primary
Certified Registered Nurse Anesthetist 367500000X 100919 NE
Certified Registered Nurse Anesthetist 367500000X 55441 KS

Addresses

Primary practice location

30598 County Road 20
Idalia, CO 80735-9784

Mailing address

30598 County Road 20
Idalia, CO 80735-9784

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170213000868 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 9032144647 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centers for GastroenterologyGroup PAC ID 9537059555, 38 clinicians

Practice addresses (Care Compare)

3702 S Timberline Rd
Suite a
Fort Collins, CO 80525-3625
Phone (970) 207-9773

Merit-based Incentive Payment System (MIPS)

Final score
60.52 of 100Reported as group
Quality
0
Promoting interoperability
100
Improvement activities
40
Cost
68.38

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
114048COMDCertified Registered Nurse Anesthetist
55441KSMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2022 Accepting new patients
Wray Community District Hospital CurrentSince Feb 10, 2017 Accepting new patients
Wray Community District Hospital Current Accepting new patients
Arapahoe Gastroenterology Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 6, 2023 Accepting new patients
Lincoln Community Hospital CurrentSince Oct 9, 2018 Accepting new patients
Lincoln Community Hospital CurrentSince Oct 9, 2018 Accepting new patients
Centers for Gastroenterology CurrentSince Nov 1, 2021 Accepting new patients
Great Plains of Cheyenne Co. Inc Past Accepting new patients
Great Plains Anesthesia, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Great Plains of Cheyenne Co. Inc Past Accepting new patients

Locations

4700 Hale Pkwy
Ste 200
Denver, CO 80220
Phone (303) 758-1175

3702 S Timberline Rd
Ste A
Fort Collins, CO 80525
Phone (970) 207-9773

1001 Southpark Dr
Littleton, CO 80120
Phone (303) 531-5724

2555 E 13th St
Ste 210
Loveland, CO 80537
Phone (970) 461-6262

2555 E 13th St
Ste 220
Loveland, CO 80537
Phone (970) 669-5432

1017 W 7th St
Wray, CO 80758
Phone (970) 332-4811

700 Main St
Wray, CO 80758
Phone (970) 332-3450

Interoperability endpoints

  • Direct secure messaging: doreen.pecar.1@15466.direct.athenahealth.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/ntTIZxOIDS2tB2PUqr33FYQo0UWd2W9R/

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282694400000",
    "number": "1235445453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30598 COUNTY ROAD 20",
            "city": "IDALIA",
            "state": "CO",
            "postal_code": "807359784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30598 COUNTY ROAD 20",
            "city": "IDALIA",
            "state": "CO",
            "postal_code": "807359784",
            "telephone_number": "970-332-5915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECAR",
        "first_name": "DOREEN",
        "middle_name": "M",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-25",
        "last_updated": "2010-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CO",
            "license": "114048",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NE",
            "license": "100919",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "55441",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idalia, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; 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.