Individual provider Active NPI

Martin W Cornett, CRNA

  • Certified Registered Nurse Anesthetist
  • Castle Rock, CO
National Provider Identifier
1447426812
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APN.0100041-CRNA Issued in CO
Practice address
3911 Ambrosia St Ste 201
Castle Rock, CO 80109-3888
Phone
(303) 788-8888
Fax
(844) 347-5158
NPI assigned
May 5, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 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 APN.0100041-CRNA CO Primary
Certified Registered Nurse Anesthetist 367500000X APRN-1083 HI

Addresses

Primary practice location

3911 Ambrosia St Ste 201
Castle Rock, CO 80109-3888

Mailing address

3911 Ambrosia St Ste 201
Castle Rock, CO 80109-3888
Phone (303) 788-8888

Other practice location 1

640 Ulukahiki St
Kailua, HI 96734-4454
Phone (808) 263-5500

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080609000207 HI Practitioner - Certified Registered Nurse Anesthetist (Crna) 8426128059 Reassigns benefits to 3 organizations
I20121024000645 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 8426128059 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Denver Gastroenterology, P.CGroup PAC ID 2062302508, 54 clinicians

Practice addresses (Care Compare)

3911 Ambrosia St
Suite 201
Castle Rock, CO 80109-3888
Phone (303) 788-8888

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arapahoe Gastroenterology Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2025 Accepting new patients
South Denver Gastroenterology, PC Current Accepting new patients
Mel a Ona M D Incorporated CurrentSince Apr 1, 2023 Accepting new patients
Pec Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 6, 2020 Accepting new patients
Koolau Anesthesia Group, LLC CurrentSince Sep 12, 2022 Accepting new patients
South Denver Gastroenterology, PC Nurse Anesthetist, Certified Registered CurrentSince Mar 26, 2024 Accepting new patients
Anesthesia Relief LLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

3911 Ambrosia St
Ste 201
Castle Rock, CO 80109
Phone (303) 788-8888

499 E Hampden Ave
Ste 420
Englewood, CO 80113
Phone (303) 788-8888

1001 Southpark Dr
Littleton, CO 80120
Phone (303) 531-5724

10103 Ridgegate Pkwy
Ste 312
Lone Tree, CO 80124
Phone (303) 788-8888

1401 S Beretania St
Ste 200
Honolulu, HI 96814
Phone (808) 312-6700

642 Ulukahiki St
Ste 200
Kailua, HI 96734
Phone (808) 218-6850

640 Ulukahiki St
Kailua, HI 96734
Phone (808) 261-3326

590 Farrington Hwy
Unit 525
Kapolei, HI 96707
Phone (808) 762-2311

1029 Makolu St
Ste H
Pearl City, HI 96782
Phone (808) 456-6420

401 Commerce St
Ste 600
Nashville, TN 37219
Phone (615) 345-6900

Interoperability endpoints

  • Direct secure messaging: martin.cornett.1@3461.direct.athenahealth.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1447426812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3911 AMBROSIA ST STE 201",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801093888",
            "telephone_number": "303-788-8888",
            "fax_number": "844-347-5158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3911 AMBROSIA ST STE 201",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801093888",
            "telephone_number": "303-788-8888",
            "fax_number": "844-347-5158"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "640 Ulukahiki St",
            "address_purpose": "LOCATION",
            "city": "Kailua",
            "state": "HI",
            "postal_code": "967344454",
            "country_code": "US",
            "telephone_number": "808-263-5500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORNETT",
        "first_name": "MARTIN",
        "middle_name": "W",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-05",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CO",
            "license": "APN.0100041-CRNA",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "HI",
            "license": "APRN-1083",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.