Kyle C Anderson, CRNA

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

Last updated

Feb 19, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO, NM, TX3 enrollments

Enrollment records 3

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 DistrictGroup PAC ID 0143112805, 17 clinicians

Deaf Smith County Hospital DistrictGroup PAC ID 8123923497, 48 clinicians

Southeast Colorado Hospital DistrictGroup PAC ID 6204725138, shared by 4 NPIs, 13 clinicians

Practice addresses (Care Compare)

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 enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Locations

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.

• Dallam-Hartley Counties Hospital District

  dba Coon Memorial Hospital

  • Critical Access Hospital
  • Dalhart, TX
  • NPI 1245353747
  Medicare reassignment Care Compare group NPD
• Deaf Smith County Hospital District

  dba Hereford Regional Medical Center

  • General Acute Care Hospital
  • Hereford, TX
  • NPI 1568454403
  Medicare reassignment Care Compare group NPD
• Arkansas Valley Regional Medical Center

  dba Arkansas Valley Regional Anesthesia

  • Certified Registered Nurse Anesthetist
  • La Junta, CO
  • NPI 1609320514

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Cibola General Hospital Corporation

  dba Cibola General Hospital

  • Critical Access Hospital
  • Grants, NM
  • NPI 1780677039
  Medicare reassignment NPD
• Lincoln Community Hospital

  • Critical Access Hospital
  • Hugo, CO
  • NPI 1720107519
  Medicare reassignment NPD
• Ochiltree Hospital District

  dba Ochiltree General Hospital ER Physician Group

  • Emergency Medicine Physician
  • Perryton, TX
  • NPI 1043362908

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Ochiltree Hospital District

  dba Ochiltree General Hospital

  • Critical Access Hospital
  • Perryton, TX
  • NPI 1245237593
  Medicare reassignment NPD
• Arkansas Valley Regional Medical Center

  • Critical Access Hospital
  • La Junta, CO
  • NPI 1760489470
  Medicare reassignment
• Clayton Health Systems Inc

  dba Union County General Hospital

  • Critical Access Hospital
  • Clayton, NM
  • NPI 1427051002
  Medicare reassignment
• Dallam-Hartley Counties Hospital District

  dba Coon Memorial Hospital

  • Critical Access Hospital
  • Dalhart, TX
  • NPI 1639176456
  Medicare reassignment
• Southeast Colorado Hospital District

  • Critical Access Hospital
  • Springfield, CO
  • NPI 1285727297
  Medicare reassignment
• Dallam-Hartley Counties Hospital District

  dba Dalhart EMS

  • Land Ambulance
  • Dalhart, TX
  • NPI 1689032856
  NPD

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

• Arkansas Valley Regional Medical Center

  • Critical Access Hospital
  • La Junta, CO
  • NPI 1760489470
  Care Compare affiliation
• Clayton Health Systems Inc

  dba Union County General Hospital

  • Critical Access Hospital
  • Clayton, NM
  • NPI 1427051002
  Care Compare affiliation
• Dallam-Hartley Counties Hospital District

  dba Coon Memorial Hospital

  • Critical Access Hospital
  • Dalhart, TX
  • NPI 1639176456
  Care Compare affiliation
• Southeast Colorado Hospital District

  • Critical Access Hospital
  • Springfield, CO
  • NPI 1285727297
  Care Compare affiliation
• Southeast Colorado Hospital District

  • Ambulance
  • Springfield, CO
  • NPI 1336721265

  Hospital

  Care Compare affiliation
• Southeast Colorado Hospital District

  • Medicare Defined Swing Bed Hospital Unit
  • Springfield, CO
  • NPI 1780258475
  Care Compare affiliation
• Southeast Colorado Hospital District - Facility

  • Critical Access Hospital
  • Springfield, CO
  • NPI 1518531201
  Care Compare affiliation

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

{
    "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": []
}

• Sarah Ames, LCMHC, MT-BC
• Ajita Amin, MD
• Yvonne Ogheneruona Amune, PMHNP
• William Lee Amyot, PHARM D RPH
• Jeremy Ken Anderson
• Laura Anderson, APRN
• McKenna Anderson
• Miranda Lea Anderson, RN
• Taylor Anderson, MD
• Haley Andersson, BA

• Certified Registered Nurse Anesthetist in Concord, NH
• Providers in Concord, NH by specialty
• Certified Registered Nurse Anesthetist in New Hampshire

• 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.