NPIMap

Individual provider Active NPI

Casilyn Marie Challacombe, RN

  • Certified Registered Nurse Anesthetist
  • Albuquerque, NM
National Provider Identifier
1396406922
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
66599 Issued in NM
Practice address
6709 Academy Rd NE Ste a
Albuquerque, NM 87109-3363
Phone
(505) 308-3145
NPI assigned
Jan 5, 2022
Last updated
Jan 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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 66599 NM Primary
Registered Nurse 163W00000X 85396 NM

Addresses

Primary practice location

6709 Academy Rd NE Ste a
Albuquerque, NM 87109-3363

Mailing address

6709 Academy Rd NE Ste a
Albuquerque, NM 87109-3363
Phone (509) 290-4554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220310000693 NM Practitioner - Certified Registered Nurse Anesthetist (Crna) 0446645402 Reassigns benefits to 1 organization
I20260227001660 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 0446645402 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Main Street Anesthesia of New Mexico, LLCGroup PAC ID 3476807538, 228 clinicians
Animas Surgical Hospital LLCGroup PAC ID 0143295428, 61 clinicians

Practice addresses (Care Compare)

3001 Broadmoor Blvd NE
Unm Sandoval Regional Medical Cente
Rio Rancho, NM 87144-2100
Phone (505) 994-7000

575 Rivergate LN
Durango, CO 81301-7487
Phone (970) 247-3537

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
85396NMMDRegistered Nurse
66599NMMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Animas Surgical Hospital, LLC CurrentSince Mar 1, 2026 Accepting new patients
Main Street Anesthesia of New Mexico, LLC CurrentSince Mar 1, 2022 Accepting new patients
Durango Surgery Center LLC CurrentSince Mar 1, 2026 Accepting new patients

Locations

1266 Escalante Dr
Ste 101
Durango, CO 81303
Phone (248) 396-8109

575 Rivergate Ln
Durango, CO 81301
Phone (719) 648-5678

6709 Academy Rd NE
Ste A
Albuquerque, NM 87109
Phone (505) 308-3145

3001 Broadmoor Blvd NE
Rio Rancho, NM 87144
Phone (505) 994-7000

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

6330 S Western Ave
Ste 150
Sioux Falls, SD 57108

Organizations & group practices 4

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 7

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": "1641340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1396406922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6709 ACADEMY RD NE STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093363",
            "telephone_number": "509-290-4554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6709 ACADEMY RD NE STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093363",
            "telephone_number": "505-308-3145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHALLACOMBE",
        "first_name": "CASILYN",
        "middle_name": "MARIE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-05",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NM",
            "license": "66599",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NM",
            "license": "85396",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.