Individual provider Active NPI

Colleen Bender, CRNA

  • Certified Registered Nurse Anesthetist
  • Portsmouth, NH
National Provider Identifier
1386035749
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
056628-23 Issued in NH
Practice address
333 Borthwick Ave
Portsmouth, NH 03801-7128
Phone
(603) 433-4095
NPI assigned
Feb 6, 2015
Last updated
May 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X AP08180 LA
Certified Registered Nurse Anesthetist 367500000X 056628-23 NH Primary

Addresses

Primary practice location

333 Borthwick Ave
Portsmouth, NH 03801-7128

Mailing address

55 Ridgecrest Dr
Greenland, NH 03840-2453
Phone (603) 498-4213

Other practice location 1

88 McGregor St
Ste 303
Manchester, NH 03102-3750
Phone (603) 647-9325

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150529001825 NH Practitioner - Certified Registered Nurse Anesthetist (Crna) 4082934278 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Anesthesia Associates of New England PCGroup PAC ID 8921340886, 14 clinicians
Portsmouth Anesthesia Associates PAGroup PAC ID 6002855327, 40 clinicians
Skyline Anesthesia PLLCGroup PAC ID 2961872064, 17 clinicians
Anesthesia Care Group PCGroup PAC ID 5395646178, 35 clinicians

Practice addresses (Care Compare)

1 Parkland Dr
Derry, NH 03038-2746
Phone (603) 432-1500

333 Borthwick Ave
Portsmouth, NH 03801-7128
Phone (603) 436-5110

41 Innovative Way
Nashua, NH 03062-5701
Phone (603) 484-7710

88 McGregor St
Suite 303
Manchester, NH 03102-3734
Phone (603) 647-9325

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP08180LAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Collaborative Anesthesia Partners Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2020 Accepting new patients
Amoskeag Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2020 Accepting new patients
Skyline Anesthesia PLLC CurrentSince Apr 28, 2025 Accepting new patients
Portsmouth Anesthesia Associates PA CurrentSince Aug 1, 2017 Accepting new patients
Anesthesia Care Group PC CurrentSince Apr 20, 2015 Accepting new patients
Icon Anesthesia Services of New England LLC CurrentSince Sep 1, 2021 Accepting new patients
Apollo Medical Group of Wentworth PLLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2020 Accepting new patients
Anesthesia Associates of New England PC CurrentSince Apr 2, 2019 Accepting new patients
Apollo Medical Group of Seabrook PLLC Nurse Anesthetist, Certified Registered CurrentSince Feb 23, 2020 Accepting new patients

Locations

400 10th St E
Waconia, MN 55387

45 Dartmouth Dr
Lot 4
Auburn, NH 03032
Phone (603) 775-7575

2 Pillsbury St
Ste 100
Concord, NH 03301
Phone (603) 224-2020

1 Parkland Dr
Derry, NH 03038
Phone (603) 421-2220

1 Elliot Way
Manchester, NH 03103
Phone (603) 663-2271

1 Elliot Way
Ste 200
Manchester, NH 03103
Phone (603) 623-4640

88 McGregor St
Ste 303
Manchester, NH 03102
Phone (603) 647-9325

41 Innovative Way
Nashua, NH 03062
Phone (603) 484-7710

333 Bothwick Ave
Portsmouth, NH 03801
Phone (603) 433-4907

325 Lafayette Rd
Seabrook, NH 03874
Phone (603) 218-1793

6 Works Way
Somersworth, NH 03878
Phone (603) 285-9273

240 S Main St
Wolfeboro, NH 03894
Phone (603) 515-2093

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1423180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1386035749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 RIDGECREST DR",
            "city": "GREENLAND",
            "state": "NH",
            "postal_code": "038402453",
            "telephone_number": "603-498-4213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 BORTHWICK AVE",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038017128",
            "telephone_number": "603-433-4095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "88 McGregor St",
            "address_2": "Ste 303",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031023750",
            "country_code": "US",
            "telephone_number": "603-647-9325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENDER",
        "first_name": "COLLEEN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-06",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "AP08180",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NH",
            "license": "056628-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.