Active NPI
Kyle C Anderson, CRNA
- Certified Registered Nurse Anesthetist
- Concord, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 767058
- 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.
-
- Certified Registered Nurse Anesthetist
- La Junta, CO
- NPI 1609320514
CO, Nurse Anesthetist, Certified Registered
-
- Emergency Medicine Physician
- Perryton, TX
- NPI 1043362908
Nurse Anesthetist, Certified Registered, TX
-
- Family Medicine Physician
- Hereford, TX
- NPI 1811987027
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- La Junta, CO
- NPI 1760489470
Hospital
-
- Critical Access Hospital
- Dalhart, TX
- NPI 1639176456
Hospital
-
- Critical Access Hospital
- Springfield, CO
- NPI 1285727297
Hospital
-
- Medicare Defined Swing Bed Hospital Unit
- Springfield, CO
- NPI 1780258475
Hospital
-
- Critical Access Hospital
- Springfield, CO
- NPI 1518531201
Hospital
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 DistrictDeaf Smith County Hospital DistrictSoutheast Colorado Hospital District
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
- Union County General Hospital
- Southeast Colorado Hospital District
- Arkansas Valley Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.99 of 100
- Quality
- 63.82
- Promoting interoperability
- 98
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 36.1 of 100
- Quality
- 57.82
- Improvement activities
- 0
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, NM, TX
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dallam-Hartley Counties Hospital District | Current | Accepting new patients | |
| Arkansas Valley Regional Medical Center | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Dallam-Hartley Counties Hospital District | Current | Accepting new patients | |
| Southeast Colorado Hospital District - Facility | Current | Accepting new patients | |
| Lincoln Community Hospital | Current | Accepting new patients | |
| Ochiltree Hospital District | Current | Accepting new patients | |
| Ochiltree Hospital District | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Cibola General Hospital Corporation | Current | Accepting new patients | |
| Deaf Smith County Hospital District | Current | Accepting new patients | |
| Lincoln Community Hospital | Current | Accepting new patients | |
| Deaf Smith County Hospital District | Current | Accepting new patients | |
| Ochiltree Hospital District | Current | Accepting new patients | |
| Ochiltree Hospital District | Current | 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 767058 | CA | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | NH |
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.