Individual provider Active NPI

Katrina Lucille Pinczes, CRNA

  • Certified Registered Nurse Anesthetist
  • Gallup, NM
National Provider Identifier
1356626246
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
12236-NA Issued in OH
Practice address
1901 Red Rock Dr
Gallup, NM 87301-5683
Phone
(330) 603-5716
NPI assigned
Oct 11, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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 12236-NA OH Primary

Addresses

Primary practice location

1901 Red Rock Dr
Gallup, NM 87301-5683

Mailing address

391 Warwick St
Akron, OH 44305-3129
Phone (330) 794-8871

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, NM, CO3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200326002820 OK Practitioner - Certified Registered Nurse Anesthetist (Crna) 3971761578 Reassigns benefits to 1 organization
I20210726000183 NM Practitioner - Certified Registered Nurse Anesthetist (Crna) 3971761578 Reassigns benefits to 2 organizations
I20220105001329 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 3971761578

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Youngs Professional Services LLCGroup PAC ID 2163524992, 297 clinicians

Practice addresses (Care Compare)

1901 Red Rock Dr
Gallup, NM 87301-5683
Phone (505) 863-7122

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
12236-NAOHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Youngs Professional Services LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2022 Accepting new patients
Western Oklahoma Anesthesia Consultants PLLC CurrentSince Mar 1, 2020 Accepting new patients
Main Street Anesthesia of New Mexico, LLC CurrentSince Jul 1, 2021 Accepting new patients

Locations

1901 Red Rock Dr
Gallup, NM 87301
Phone (505) 863-7000

117 E 19th St
Roswell, NM 88201
Phone (505) 727-2000

3701 E Main St
Weatherford, OK 73096
Phone (580) 772-5551

900 17th St
Woodward, OK 73801
Phone (405) 610-4411

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1318291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1356626246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 WARWICK ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443053129",
            "telephone_number": "330-794-8871",
            "fax_number": "330-794-8871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 RED ROCK DR",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873015683",
            "telephone_number": "330-603-5716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINCZES",
        "first_name": "KATRINA",
        "middle_name": "LUCILLE",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-11",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "12236-NA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallup, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.