Individual provider Active NPI

John Christian Newcomer, CRNA

  • Certified Registered Nurse Anesthetist
  • Garden City, KS
National Provider Identifier
1295217248
Registry record updated Sep 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
43-557626-012 Issued in KS
Practice address
401 E Spruce St
Garden City, KS 67846-5679
Phone
(620) 272-2222
NPI assigned
Sep 5, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2018

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 43-557626-012 KS Primary

Addresses

Primary practice location

401 E Spruce St
Garden City, KS 67846-5679

Mailing address

401 E Spruce St
Garden City, KS 67846-5672
Phone (620) 272-2222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, NE, CO3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20181030000535 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 1456604073 Reassigns benefits to 1 organization
I20190501002439 NE Practitioner - Certified Registered Nurse Anesthetist (Crna) 1456604073 Reassigns benefits to 1 organization
I20201012001736 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 1456604073 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kearney Anesthesia Associates PCGroup PAC ID 9335132141, 18 clinicians

Practice addresses (Care Compare)

10 E 31St St
CHI Good Samaritan Hospital
Kearney, NE 68847-2908
Phone (308) 865-7100

Hospital & facility affiliations

  • CHI Health Good Samaritan Hospital, Kearney, NE, CCN 280009
  • Prowers Medical Center Hospital, Lamar, CO, CCN 061323

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43-557626-012KSMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Labette County Medical Center Current Accepting new patients
CPR Anesthesia, Inc Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2021 Accepting new patients
Labette County Medical Center CurrentSince Jun 1, 2021 Accepting new patients
Kearney Anesthesia Associates PC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2024 Accepting new patients
Labette County Medical Center CurrentSince Jun 1, 2021 Accepting new patients
Prowers County Hospital District CurrentSince Oct 1, 2020 Accepting new patients

Locations

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

401 Kendall Dr
Lamar, CO 81052
Phone (719) 336-4343

1902 S US Highway 59
Parsons, KS 67357
Phone (620) 421-4880

10 E 31st St
Kearney, NE 68847
Phone (308) 234-5520

10 E 31st St
#H
Kearney, NE 68847
Phone (308) 865-7100

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536105600000",
    "number": "1295217248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E SPRUCE ST",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678465672",
            "telephone_number": "620-272-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E SPRUCE ST",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678465679",
            "telephone_number": "620-272-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWCOMER",
        "first_name": "JOHN",
        "middle_name": "CHRISTIAN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-05",
        "last_updated": "2018-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "43-557626-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; 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.