Individual provider Active NPI

Kerri Donna Wagner, CRNA

  • Certified Registered Nurse Anesthetist
  • Spokane, WA
National Provider Identifier
1386870715
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP60097099 Issued in WA
Practice address
101 W 8TH Ave
Spokane, WA 99201-2307
Phone
(509) 474-3131
NPI assigned
May 29, 2009
Last updated
Nov 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN00127041 WA
Certified Registered Nurse Anesthetist 367500000X 327402 AZ
Certified Registered Nurse Anesthetist 367500000X AP60097099 WA Primary

Addresses

Primary practice location

101 W 8TH Ave
Spokane, WA 99201-2307

Mailing address

101 W 8TH Ave
Spokane, WA 99204-2307
Phone (509) 474-3131

Other practice location 1

2400 S Avenue A
Yuma, AZ 85364-7127
Phone (928) 344-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, MT, AZ3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20090818000512 WA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6204980774 Reassigns benefits to 2 organizations
I20250108003458 MT Practitioner - Certified Registered Nurse Anesthetist (Crna) 6204980774 Reassigns benefits to 2 organizations
I20251208003174 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 6204980774 Reassigns benefits to 1 organization

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
Yuma Regional Medical CenterGroup PAC ID 2062314826, 367 clinicians

Practice addresses (Care Compare)

105 W 8TH Ave
Suite 6010
Spokane, WA 99204-2318
Phone (509) 838-5950

1200 Westwood Dr
Hamilton, MT 59840-2345
Phone (406) 363-2211

2400 S Ave a
Yuma, AZ 85364-7127
Phone (928) 344-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.09 of 100Reported as group
Quality
67.04
Promoting interoperability
88
Improvement activities
40
Cost
76.61

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
327402AZMDCertified Registered Nurse Anesthetist
AP60097099WAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Marcus Daly Memorial Hospital Corp CurrentSince Feb 10, 2025 Accepting new patients
Spokane Outpatient Anesthesia PLLC CurrentSince Aug 25, 2023 Accepting new patients
Yuma Regional Medical Center CurrentSince Nov 24, 2025 Accepting new patients
Marcus Daly Memorial Hospital Corporation CurrentSince Feb 10, 2025 Accepting new patients
Sundance Anesthesia LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Yuma Regional Medical Center CurrentSince Nov 24, 2025 Accepting new patients
Marcus Daly Memorial Hospital Corporation Current Accepting new patients
Spokane Digestive Disease Center, P.S. CurrentSince Jul 1, 2021 Accepting new patients
Providence Health & Services - Washington Past Accepting new patients

Locations

2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100

1200 Westwood Dr
Hamilton, MT 59840
Phone (406) 363-2211

1224 W Main St
Hamilton, MT 59840
Phone (406) 375-4823

105 W 8th Ave
Ste 6010
Spokane, WA 99204
Phone (509) 838-5950

217 W Cataldo Ave
Spokane, WA 99201
Phone (509) 624-2326

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 1

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": "1243555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1386870715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W 8TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042307",
            "telephone_number": "509-474-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W 8TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012307",
            "telephone_number": "509-474-3131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 S Avenue A",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "853647127",
            "country_code": "US",
            "telephone_number": "928-344-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "KERRI",
        "middle_name": "DONNA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-29",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "RN00127041",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "327402",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "AP60097099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; 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.