Individual provider Active NPI

Tracy Cole Ratzlaff, CRNA

  • Certified Registered Nurse Anesthetist
  • Las Vegas, NM
National Provider Identifier
1285736314
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R44655 Issued in NM
Practice address
1101 Douglas Avenue
Las Vegas, NM 87701-3932
Phone
(505) 434-7289
Fax
(505) 434-7299
NPI assigned
Sep 1, 2006
Last updated
Feb 9, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X R44655 NM Primary

Addresses

Primary practice location

1101 Douglas Avenue
Las Vegas, NM 87701-3932

Mailing address

1101 Douglas Avenue
Las Vegas, NM 87701-3932
Phone (505) 434-7289

Other identifiers 1

IdentifierTypeStateIssuer
00071215MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050427000004 NM Practitioner - Certified Registered Nurse Anesthetist (Crna) 3173562485 Reassigns benefits to 2 organizations
I20190416003089 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 3173562485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1996
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

104 Legion Dr
Las Vegas, NM 87701-4804

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R44655NMMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
San Miguel Hospital Corporation Current Accepting new patients
Laughing Ratz Anesthesia and Pain Management LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 24, 2022 Accepting new patients
Dallam-Hartley Counties Hospital District CurrentSince Mar 1, 2020 Accepting new patients
Dallam-Hartley Counties Hospital District CurrentSince Mar 1, 2020 Accepting new patients
Advanced Anesthesia Care P.C. Past Accepting new patients
Roswell Hospital Corporation Past Accepting new patients
Roswell Hospital Corporation Past Accepting new patients
San Miguel Hospital Corporation Past Accepting new patients
High Country Community Rural Health Clinic Past Accepting new patients

Locations

104 Legion Dr
Las Vegas, NM 87701
Phone (505) 426-3500

104 Legion Dr
Ste 100
Las Vegas, NM 87701
Phone (505) 426-3500

1101 Douglas Ave
Las Vegas, NM 87701
Phone (505) 429-4679

1411 Denver Ave
Dalhart, TX 79022
Phone (806) 244-4571

Interoperability endpoints

  • Direct secure messaging: tracy.ratzlaff.1@1592.direct.athenahealth.com

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": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1285736314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 DOUGLAS AVENUE",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877013932",
            "telephone_number": "505-434-7289",
            "fax_number": "505-434-7299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 DOUGLAS AVENUE",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877013932",
            "telephone_number": "505-434-7289",
            "fax_number": "505-434-7299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATZLAFF",
        "first_name": "TRACY",
        "middle_name": "COLE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NM",
            "license": "R44655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00071215",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; 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.