Individual provider Active NPI

Deana Marie Fantom, CRNA

  • Certified Registered Nurse Anesthetist
  • Greenwood Village, CO
National Provider Identifier
1285930339
Registry record updated May 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APN.0100067-CRNA Issued in CO
Practice address
8000 E Maplewood Ave Ste 200
Greenwood Village, CO 80111-4727
Phone
(303) 438-3999
Fax
(720) 439-9500
NPI assigned
Feb 8, 2011
Last updated
May 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2026

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 APN.0100067-CRNA CO Primary
Certified Registered Nurse Anesthetist 367500000X 127479 CO

Addresses

Primary practice location

8000 E Maplewood Ave Ste 200
Greenwood Village, CO 80111-4727

Mailing address

PO Box 840862
Dallas, TX 75284-0862
Phone (303) 377-7638

Other practice location 1

400 W 16th St
Pueblo, CO 81003-2745
Phone (719) 584-2722

Other practice location 2

11600 W 2nd Pl
Lakewood, CO 80228-1527
Phone (720) 321-1010

Other identifiers 2

IdentifierTypeStateIssuer
127479OtherCOCOLORADO LICENSE
RN1014827OtherDCSTATE LICENSE

Other names 1

  • Deana Fantom Jacobsen Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110809000018 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 6305015389 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Georgetown University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arlington Anesthesia Group PLLCGroup PAC ID 2860798303, 35 clinicians
Hospitalist Medicine Physicians of Colorado - Denver PCGroup PAC ID 3577073402, 90 clinicians
US Anesthesia Partners of Colorado IncGroup PAC ID 6002072055, 472 clinicians
Northern Colorado Anesthesia Professionals PLLCGroup PAC ID 6800878760, 155 clinicians

Practice addresses (Care Compare)

1000 Wellington Ave
Day Surgery of Grand Junction
Grand Junction, CO 81501-8180
Phone (970) 245-5989

1375 E 19TH Ave
Saint Joseph Hospital
Denver, CO 80218-1114
Phone (303) 812-6400

1501 S Potomac St
The Medical Center of Aurora
Aurora, CO 80012-5411
Phone (303) 438-3999

200 Exempla Cir
Ncap PLLC
Lafayette, CO 80026-3370
Phone (303) 689-4000

2500 Rocky Mountain Ave
Loveland, CO 80538-9004

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.8 of 100Reported as group
Quality
85
Improvement activities
40
Cost
76.83

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.0100067-CRNACOMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Arlington Anesthesia Group, PLLC CurrentSince Feb 26, 2025 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 8, 2020 Accepting new patients
Crna Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2020 Accepting new patients
Metro Denver Pain Management PLLC Current Accepting new patients
Arapahoe Gastroenterology Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2020 Accepting new patients
Dry Creek Surgery Center, LLC CurrentSince Jul 29, 2021 Accepting new patients
Lincoln Surgery Center LLC CurrentSince Jul 29, 2021 Accepting new patients
Northern Colorado Anesthesia Professionals PLLC CurrentSince Sep 15, 2022 Accepting new patients
US Anesthesia Partners of Colorado Inc. Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2016 Accepting new patients

Locations (25 of 28)

14272 E Evans Ave
Aurora, CO 80014
Phone (303) 425-2800

3911 Ambrosia St
Ste 201
Castle Rock, CO 80109
Phone (303) 788-8888

13111 E Briarwood Ave
Ste 300
Centennial, CO 80112
Phone (303) 671-5533

1625 Medical Center Pt
Ste 190
Colorado Springs, CO 80907
Phone (719) 345-1047

1375 E 19th Ave
Denver, CO 80218
Phone (303) 812-2000

1501 S Potomac St
Denver, CO 80012
Phone (303) 695-2604

10520 El Diente Ct
Englewood, CO 80112
Phone (720) 248-0797

10520 El Diente Ct
Ste A
Englewood, CO 80112
Phone (720) 414-5310

501 E Hampden Ave
Englewood, CO 80113
Phone (303) 788-5300

3702 Automation Way
Ste 103
Fort Collins, CO 80525
Phone (970) 495-6201

1000 Wellington Ave
Grand Junction, CO 81501
Phone (970) 243-9000

7447 E Berry Ave
Ste 100
Greenwood Village, CO 80111
Phone (720) 330-3333

8000 E Maplewood Ave
Ste 120
Greenwood Village, CO 80111

8000 E Maplewood Ave
Ste 200
Greenwood Village, CO 80111
Phone (303) 785-4700

8200 E Belleview Ave
Ste 300E
Greenwood Village, CO 80111
Phone (303) 290-0600

11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010

7000 W Colfax Ave
Lakewood, CO 80214
Phone (303) 671-5553

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

7730 S Broadway
Littleton, CO 80122
Phone (303) 730-2376

10101 Ridgegate Pkwy
Lone Tree, CO 80124
Phone (720) 225-1000

10103 Ridgegate Pkwy
Ste 312
Lone Tree, CO 80124
Phone (303) 788-8888

9218 Kimmer Dr
Ste 101
Lone Tree, CO 80124
Phone (303) 623-2680

2500 Rocky Mountain Ave
Loveland, CO 80538
Phone (970) 297-6425

9397 Crown Crest Blvd
Parker, CO 80138
Phone (303) 840-1135

10001 Washington St
Thornton, CO 80229
Phone (303) 252-0083

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.

Hospital & facility affiliations 25

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1297123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780099200000",
    "number": "1285930339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840862",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840862",
            "telephone_number": "303-377-7638",
            "fax_number": "303-780-0787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 E MAPLEWOOD AVE STE 200",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801114727",
            "telephone_number": "303-438-3999",
            "fax_number": "720-439-9500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 W 16th St",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810032745",
            "country_code": "US",
            "telephone_number": "719-584-2722",
            "fax_number": "719-584-1439",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11600 W 2nd Pl",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802281527",
            "country_code": "US",
            "telephone_number": "720-321-1010",
            "fax_number": "720-321-1001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FANTOM",
        "first_name": "DEANA",
        "middle_name": "MARIE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-08",
        "last_updated": "2026-05-30",
        "certification_date": "2026-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CO",
            "license": "APN.0100067-CRNA",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CO",
            "license": "127479",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO LICENSE",
            "identifier": "127479",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "RN1014827",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEANA",
            "last_name": "JACOBSEN",
            "middle_name": "FANTOM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greenwood Village, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2026; 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.