Active NPI
Kaitlyn M Siesel
- Certified Registered Nurse Anesthetist
- Greeley, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APN.0993218-CRNA
- Practice address
- 1801 16TH Street
Greeley, CO 80631 - Phone
- (970) 810-4121
- Fax
- (770) 701-6675
- NPI assigned
- Sep 19, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 111936 | OH | |
| Certified Registered Nurse Anesthetist | 367500000X | 111936 | CA | |
| Certified Registered Nurse Anesthetist | 367500000X | APN.0993218-CRNA | CO | Primary |
Addresses
Primary practice location
1801 16TH Street
Greeley, CO 80631
Mailing address
PO Box 1786
Fort Collins, CO 80522-1786
Phone (855) 654-5262
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, OH
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
195 Wadsworth Rd
Wadsworth, OH 44281-9537
Phone (330) 331-1000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111936 | CA | MD | Clinical Social Worker |
| 95000626 | CA | MD | Family Nurse Practitioner |
| APN.0993218-CRNA | CO | MD | Certified Registered Nurse Anesthetist |
| 111936 | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rocky Mountain State Anesthesia Providers | Current | Accepting new patients | |
| Rocky Mountain State Anesthesia Providers | Current | Accepting new patients | |
| Dayton Anesthesia & Pain Services, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Southwest Ohio Anesthesia Consultants LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Southwest Ohio Anesthesia Consultants LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
1801 16th St
Greeley, CO 80631
Phone (970) 352-4121
7111 Fairway Dr
Ste 450
Palm Beach Gardens, FL 33418
Phone (561) 623-2035
444 N Main St
Akron, OH 44310
Phone (330) 375-6363
525 E Market St
Akron, OH 44304
Phone (330) 375-6350
3000 Hospital Dr
Batavia, OH 45103
Phone (513) 557-3209
7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034
405 W Grand Ave
Dayton, OH 45405
Phone (937) 226-3200
195 Wadsworth Rd
Wadsworth, OH 44281
Phone (330) 331-1000
265 Brookview Centre Way
Ste 400
Knoxville, TN 37919
Phone (865) 293-5549
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.
-
- Anesthesiology Physician
- Dayton, OH
- NPI 1629401898
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Greeley, CO
- NPI 1730692054
-
- Anesthesiology Physician
- Cincinnati, OH
- NPI 1588645188
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Loveland, CO
- NPI 1710510417
-
- Anesthesiology Physician
- Cincinnati, OH
- NPI 1255768107
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Canton, OH
- NPI 1295036762
Hospital
-
- General Acute Care Hospital
- Akron, OH
- NPI 1396765681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578009600000",
"number": "1356899389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1786",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805221786",
"telephone_number": "855-654-5262",
"fax_number": "770-701-8675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 16TH STREET",
"city": "GREELEY",
"state": "CO",
"postal_code": "80631",
"telephone_number": "970-810-4121",
"fax_number": "770-701-6675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIESEL",
"first_name": "KAITLYN",
"middle_name": "M",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-19",
"last_updated": "2020-01-03",
"certification_date": "2020-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "111936",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "111936",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CO",
"license": "APN.0993218-CRNA",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greeley, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; 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.