Individual provider Active NPI

Alexander Corbitt, CRNA

  • Certified Registered Nurse Anesthetist
  • Olympia, WA
National Provider Identifier
1346982170
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP61317489 Issued in WA
Practice address
510 State Ave NE Unit 102B
Olympia, WA 98501-1175
Phone
(678) 634-9694
NPI assigned
Apr 12, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN60768328 WA
Registered Nurse 163W00000X RN250862 GA
Certified Registered Nurse Anesthetist 367500000X AP61317489 WA Primary

Addresses

Primary practice location

510 State Ave NE Unit 102B
Olympia, WA 98501-1175

Mailing address

2075 N Cambridge Ave Apt 203
Milwaukee, WI 53202-0015
Phone (678) 634-9694

Other practice location 1

209 Lilly Rd NE
Olympia, WA 98506-5030
Phone (360) 413-8250

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220825004279 WA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5294119194 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Olympia Orthopaedic Associates PLLCGroup PAC ID 2365337508, 87 clinicians

Practice addresses (Care Compare)

3901 Capital Mall Dr SW
Suite D
Olympia, WA 98502-8654
Phone (360) 709-6221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN250862GAMDRegistered Nurse
RN60768328WAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Associates Clinical Practice, PLLC Nurse Anesthetist, Certified Registered CurrentSince Apr 29, 2024 Accepting new patients
Rainier Anesthesia Associates PC CurrentSince Mar 1, 2024 Accepting new patients
Olympia Orthopaedic Associates, PLLC CurrentSince Mar 1, 2024 Accepting new patients
Olympia Orthopaedic Associates PLLC CurrentSince Mar 1, 2024 Accepting new patients
Capital Medical Center Specialty Physicians, LLC CurrentSince Aug 3, 2022 Accepting new patients
Advanced Anesthesia Services, PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 12, 2024 Accepting new patients

Locations

17700 SE 272nd St
Kent, WA 98042
Phone (253) 372-6500

3901 Capital Mall Dr SW
Ste D
Olympia, WA 98502
Phone (360) 709-6221

3901 Capital Mall Dr SW
Ste B
Olympia, WA 98502
Phone (360) 528-8571

209 Lilly Rd NE
Olympia, WA 98506
Phone (360) 413-8250

3900 Capital Mall Dr SW
Olympia, WA 98502
Phone (360) 704-4743

615 Lilly Rd NE
Ste 240
Olympia, WA 98506
Phone (360) 413-3850

407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000

104 27th Ave SE
Puyallup, WA 98374
Phone (253) 770-4099

1145 Broadway
Seattle, WA 98122

35302 SE Center St
Snoqualmie, WA 98065
Phone (425) 216-8810

1610 Bishop Rd SW
Tumwater, WA 98512
Phone (360) 754-3338

Interoperability endpoints

  • Direct secure messaging: alexander.corbitt.1@5512.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/5512/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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": "1649721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1346982170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 N CAMBRIDGE AVE APT 203",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532020015",
            "telephone_number": "678-634-9694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 STATE AVE NE UNIT 102B",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985011175",
            "telephone_number": "678-634-9694"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 Lilly Rd NE",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985065030",
            "country_code": "US",
            "telephone_number": "360-413-8250",
            "fax_number": "360-413-8830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORBITT",
        "first_name": "ALEXANDER",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-12",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60768328",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN250862",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "AP61317489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; 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.