Individual provider Active NPI

Kevin Dale Scharff, CRNA

  • Certified Registered Nurse Anesthetist
  • Taos, NM
National Provider Identifier
1255323846
Registry record updated Jan 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
CRA100022 Issued in CO
Practice address
1397 Weimer Rd
Taos, NM 87571-6253
Phone
(970) 580-9003
NPI assigned
Aug 19, 2005
Last updated
Jan 6, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2016

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X CRNA - 01154 NM
Certified Registered Nurse Anesthetist 367500000X CRA100022 CO Primary
Certified Registered Nurse Anesthetist 367500000X D-127437 IA
Certified Registered Nurse Anesthetist 367500000X R28328 ND
Certified Registered Nurse Anesthetist 367500000X 3009206 KY
Certified Registered Nurse Anesthetist 367500000X 101178 NE
Certified Registered Nurse Anesthetist 367500000X CRNA000411 NV
Certified Registered Nurse Anesthetist 367500000X 201403005CRNA OR
Certified Registered Nurse Anesthetist 367500000X AP109560 TX
Certified Registered Nurse Anesthetist 367500000X 30290.1156 WY

Addresses

Primary practice location

1397 Weimer Rd
Taos, NM 87571-6253

Mailing address

118 Hillside Dr
Sterling, CO 80751-7001
Phone (970) 580-9003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, NE, KY, NM, KS5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20110919000405 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 7618920356 Reassigns benefits to 1 organization
I20140730001231 NE Practitioner - Certified Registered Nurse Anesthetist (Crna) 7618920356 Reassigns benefits to 1 organization
I20150810002623 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 7618920356 Reassigns benefits to 1 organization
I20160224002216 NM Practitioner - Certified Registered Nurse Anesthetist (Crna) 7618920356 Reassigns benefits to 2 organizations
I20250227001214 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 7618920356 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
CRA100022COMDCertified Registered Nurse Anesthetist
D-127437IAMDCertified Registered Nurse Anesthetist
3009206KYMDCertified Registered Nurse Anesthetist
R28328NDMDCertified Registered Nurse Anesthetist
101178NEMDCertified Registered Nurse Anesthetist
CRNA - 01154NMMDCertified Registered Nurse Anesthetist
201403005CRNAORMDCertified Registered Nurse Anesthetist
AP109560TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Otero County Hospital Association CurrentSince Oct 27, 2021 Accepting new patients
Northstar Anesthesia of Kentucky, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jun 27, 2015 Accepting new patients
Clinical Colleagues KS PA Nurse Anesthetist, Certified Registered CurrentSince Dec 21, 2024 Accepting new patients
Otero County Hospital Association CurrentSince Oct 27, 2021 Accepting new patients
Netherlands Anesthesia, LLC CurrentSince Apr 1, 2021 Accepting new patients
Clinical Colleagues LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 22, 2024 Accepting new patients
CHI Health Clinic Physician Enterprise-Anesthesia LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Banner Anesthesiologists West, LLC Past Accepting new patients
Sterling Regional Medcenter Past Accepting new patients

Locations

1000 Lincoln St
Fort Morgan, CO 80701
Phone (970) 542-3320

1801 16th St
Greeley, CO 80631
Phone (970) 352-4121

92 E McNab Rd
Pompano Beach, FL 33060

629 S Plummer Ave
Chanute, KS 66720
Phone (316) 431-4000

3001 Avenue A
Dodge City, KS 67801
Phone (620) 225-8400

600 Medical Center Dr
Newton, KS 67114
Phone (316) 283-2700

1099 Medical Center Cir
Mayfield, KY 42066
Phone (270) 251-4100

1000 Breckenridge St
Ste 100
Owensboro, KY 42303
Phone (270) 683-2751

1201 Pleasant Valley Rd
Owensboro, KY 42303
Phone (270) 417-2000

2669 Scenic Dr
Alamogordo, NM 88310
Phone (505) 439-6100

601 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 727-8040

1010 Spruce St
Espanola, NM 87532
Phone (505) 367-0340

1397 Weimer Rd
Taos, NM 87571
Phone (575) 751-5746

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": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452038400000",
    "number": "1255323846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 HILLSIDE DR",
            "city": "STERLING",
            "state": "CO",
            "postal_code": "807517001",
            "telephone_number": "970-580-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1397 WEIMER RD",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716253",
            "telephone_number": "970-580-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHARFF",
        "first_name": "KEVIN",
        "middle_name": "DALE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2016-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NM",
            "license": "CRNA - 01154",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CO",
            "license": "CRA100022",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IA",
            "license": "D-127437",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ND",
            "license": "R28328",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "3009206",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NE",
            "license": "101178",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NV",
            "license": "CRNA000411",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OR",
            "license": "201403005CRNA",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP109560",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WY",
            "license": "30290.1156",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taos, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; 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.