Active NPI
Pauline C Brown, CRNA
- Certified Registered Nurse Anesthetist
- Albuquerque, NM
National Provider Identifier
1346242583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R51471
- Practice address
- 7788 Jefferson St NE
Albuquerque, NM 87109-4342 - Phone
- (505) 999-1600
- Fax
- (505) 999-1655
- NPI assigned
- Jun 1, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R51471 | NM | Primary |
Addresses
Primary practice location
7788 Jefferson St NE
Albuquerque, NM 87109-4342
Mailing address
7788 Jefferson St NE
Albuquerque, NM 87109-4342
Phone (505) 999-1600
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 87807 | Medicaid | NM | |
| 14203863 | Medicaid | NM | |
| 865496 | Medicaid | AZ | |
| NM006A10 | Other | NM | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 84.34 of 100
- Quality
- 77.27
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.54
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R51471 | NM | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Gastroenterology Associates | Current | Accepting new patients | |
| Anesthesia Associates of New Mexico P C | Past | Accepting new patients | |
| Roswell Clinic Corp | Past | Accepting new patients | |
| Anesthesia Services of Albuquerque | Past | Accepting new patients | |
| Anesthesia Specialists of Bethlehem, PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
7788 Jefferson St NE
Albuquerque, NM 87109
Phone (505) 999-1600
Interoperability endpoints
- https://api.platform.athenahealth.com/12517/brand/1/csg/1/fhir/r4
- pauline.brown.1@12517.direct.athenahealth.com
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.
-
- Specialist
- Albuquerque, NM
- NPI 1902931728
-
- Specialist
- Albuquerque, NM
- NPI 1912900754
-
- Anesthesiology Physician
- Albuquerque, NM
- NPI 1427490424
-
- Family Medicine Physician
- Roswell, NM
- NPI 1649267618
-
- Anesthesiology Physician
- Bethlehem, PA
- NPI 1851349302
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444867200000",
"number": "1346242583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7788 JEFFERSON ST NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871094342",
"telephone_number": "505-999-1600",
"fax_number": "505-999-1655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7788 JEFFERSON ST NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871094342",
"telephone_number": "505-999-1600",
"fax_number": "505-999-1655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "PAULINE",
"middle_name": "C",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-01",
"last_updated": "2015-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NM",
"license": "R51471",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "87807",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "14203863",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "865496",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "NM006A10",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2015; 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.