Individual provider Active NPI

James Michael Robertson, CRNA

  • Certified Registered Nurse Anesthetist
  • Hampton, VA
National Provider Identifier
1336101625
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0024165898 Issued in VA
Practice address
3000 Coliseum Dr
Hampton, VA 23666
Phone
(757) 736-1000
NPI assigned
Apr 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 0024165898 VA Primary

Addresses

Primary practice location

3000 Coliseum Dr
Hampton, VA 23666

Mailing address

Dept 1041 PO Box 740209
Atlanta, GA 30374-0209
Phone (941) 360-1566

Other identifiers 1

IdentifierTypeStateIssuer
010187168MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190520002156 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 9032166517 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

112 Herff Rd
Suite 200
Boerne, TX 78006-2748
Phone (830) 331-7700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
3976CAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Fidelis Anesthesia Services, PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 11, 2019 Accepting new patients
Inland Valley Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2021 Accepting new patients
Alavie Interventional Pain Management, PLLC Past Accepting new patients
Anesthesia Healthcare Partners, Inc. Nurse Anesthetist, Certified Registered Past Accepting new patients
Prime Anesthesia Services Inc. Past Accepting new patients

Locations

1715 Medical Pkwy
Ste 200
Newton, KS 67114

112 Herff Rd
Ste 200
Boerne, TX 78006
Phone (210) 331-7720

1001 Water St
#C100
Kerrville, TX 78028
Phone (830) 896-2444

1001 Water St
Ste C100
Kerrville, TX 78028
Phone (803) 896-2444

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1336101625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 1041 PO BOX 740209",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303740209",
            "telephone_number": "941-360-1566",
            "fax_number": "941-358-9818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 COLISEUM DR",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "23666",
            "telephone_number": "757-736-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "JAMES",
        "middle_name": "MICHAEL",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024165898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010187168",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.