Active NPI
Nicholas Allan Kroll, CRNA
- Certified Registered Nurse Anesthetist
- Apo, NY
National Provider Identifier
1316296775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- COA.13788-NA
- Practice address
- Landstuhl Regional Medical Center
Unit 33100
Apo, NY 09180-3100 - Phone
- (314) 590-3880
- NPI assigned
- Aug 31, 2012
- Last updated
- May 19, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | AP60662786 | WA | |
| Certified Registered Nurse Anesthetist | 367500000X | COA.13788-NA | OH | Primary |
Addresses
Primary practice location
Landstuhl Regional Medical Center
Unit 33100
Apo, NY 09180-3100
Mailing address
518 Runquist CT
Steilacoom, WA 98388-3033
Phone (440) 371-7209
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA.13788-NA | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroll Anesthesia Services | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Certified Registered Nurse Anesthetist
- Tacoma, WA
- NPI 1205344975
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652918400000",
"number": "1316296775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "518 RUNQUIST CT",
"city": "STEILACOOM",
"state": "WA",
"postal_code": "983883033",
"telephone_number": "440-371-7209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "LANDSTUHL REGIONAL MEDICAL CENTER",
"address_2": "UNIT 33100",
"city": "APO",
"state": "NY",
"postal_code": "091803100",
"telephone_number": "314-590-3880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KROLL",
"first_name": "NICHOLAS",
"middle_name": "ALLAN",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-08-31",
"last_updated": "2022-05-19",
"certification_date": "2022-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WA",
"license": "AP60662786",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "COA.13788-NA",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Apo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.