Individual provider Active NPI

Kyle C Anderson, CRNA

  • Certified Registered Nurse Anesthetist
  • Concord, NH
National Provider Identifier
1326383100
Registry record updated Feb 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
767058 Issued in CA
Practice address
22 Bridge St Ste 9
Concord, NH 03301-4987
Phone
(603) 415-0090
Fax
(603) 692-1817
NPI assigned
Dec 4, 2012
Sex
Male
Sole proprietor
Yes

Organizations & group practices 28

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.

View all 28

Hospital & facility affiliations 7

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

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dallam-Hartley Counties Hospital District 17 clinicians
Deaf Smith County Hospital District 48 clinicians
Southeast Colorado Hospital District 13 clinicians

Practice addresses (Care Compare)

1411 Denver Ave
Dalhart, TX 79022-4809
Phone (806) 249-4571

540 W 15TH St
Hereford Health Clinic
Hereford, TX 79045-2820
Phone (806) 364-7512

900 Church St
Springfield, CO 81073-1636
Phone (719) 523-2125

Hospital & facility affiliations

  • Coon Memorial Hospital Hospital, Dalhart, TX, CCN 451331
  • Union County General Hospital Hospital, Clayton, NM, CCN 321304
  • Southeast Colorado Hospital District Hospital, Springfield, CO, CCN 061311
  • Arkansas Valley Regional Medical Center Hospital, Lajuna, CO, CCN 061336

Merit-based Incentive Payment System (MIPS)

Final score
83.99 of 100Reported as group
Quality
63.82
Promoting interoperability
98
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
36.1 of 100Reported as group
Quality
57.82
Improvement activities
0

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, NM, TX3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20201002000202 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 2668627639 Reassigns benefits to 4 organizations
I20221013000184 NM Practitioner - Certified Registered Nurse Anesthetist (Crna) 2668627639 Reassigns benefits to 3 organizations
I20240710004757 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 2668627639 Reassigns benefits to 5 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dallam-Hartley Counties Hospital District CurrentSince Dec 9, 2025 Accepting new patients
Arkansas Valley Regional Medical Center Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2026 Accepting new patients
Dallam-Hartley Counties Hospital District CurrentSince Dec 9, 2025 Accepting new patients
Southeast Colorado Hospital District - Facility CurrentSince Dec 15, 2025 Accepting new patients
Lincoln Community Hospital CurrentSince Aug 1, 2020 Accepting new patients
Ochiltree Hospital District CurrentSince Jun 1, 2024 Accepting new patients
Ochiltree Hospital District Nurse Anesthetist, Certified Registered Current Accepting new patients
Cibola General Hospital Corporation CurrentSince Sep 6, 2022 Accepting new patients
Deaf Smith County Hospital District CurrentSince Jan 23, 2026 Accepting new patients
Lincoln Community Hospital CurrentSince Aug 1, 2020 Accepting new patients
Deaf Smith County Hospital District CurrentSince Jan 23, 2026 Accepting new patients
Ochiltree Hospital District Current Accepting new patients
Ochiltree Hospital District CurrentSince Jun 1, 2024 Accepting new patients
Turlock Anesthesia Medical Group Inc Nurse Anesthetist, Certified Registered Past Accepting new patients
Deaf Smith County Hospital District Past Accepting new patients
Satanta District Hospital and Long-Term Care Past Accepting new patients
High Country Community Rural Health Clinic Past Accepting new patients

Locations

1100 Carson Ave
La Junta, CO 81050
Phone (719) 383-6000

900 Church St
Springfield, CO 81073
Phone (719) 523-6221

373 E 10th Ave
Springfield, CO 81073
Phone (719) 523-4501

1423 E Roosevelt Ave
Grants, NM 87020
Phone (505) 287-6500

1016 E Roosevelt Ave
Grants, NM 87020
Phone (505) 287-4446

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

206 E 16th St
Dalhart, TX 79022
Phone (806) 244-5668

540 W 15th St
Hereford, TX 79045
Phone (806) 364-2141

3101 Garrett Dr
Perryton, TX 79070
Phone (806) 435-3606

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 767058 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

22 Bridge St Ste 9
Concord, NH 03301-4987

Mailing address

7 Works Way
Somersworth, NH 03878-1639
Phone (603) 841-2314

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
PENDINGMedicaidNH

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 19, 2018.

{
    "created_epoch": "1354579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518998400000",
    "number": "1326383100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 WORKS WAY",
            "city": "SOMERSWORTH",
            "state": "NH",
            "postal_code": "038781639",
            "telephone_number": "603-841-2314",
            "fax_number": "603-841-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 BRIDGE ST STE 9",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033014987",
            "telephone_number": "603-415-0090",
            "fax_number": "603-692-1817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KYLE",
        "middle_name": "C",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-04",
        "last_updated": "2018-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "767058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.