Individual provider Active NPI

Carol Lynn Edwards, CRNA PHD

  • Certified Registered Nurse Anesthetist
  • Loveland, CO
National Provider Identifier
1467400473
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
00353 Issued in CO
Practice address
2555 E 13TH St Ste 220
Loveland, CO 80537-5136
Phone
(970) 669-5432
NPI assigned
May 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 00353 CO Primary

Addresses

Primary practice location

2555 E 13TH St Ste 220
Loveland, CO 80537-5136

Mailing address

3702 S Timberline Rd Ste a
Fort Collins, CO 80525-3625
Phone (970) 207-9773

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, MT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211027001800 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 0749185858 Reassigns benefits to 1 organization
I20241210001270 MT Practitioner - Certified Registered Nurse Anesthetist (Crna) 0749185858 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Montana Gastroenterology, PLLCGroup PAC ID 7618396318, 23 clinicians

Practice addresses (Care Compare)

1930 W Broadway St
Suite a
Missoula, MT 59808-1960
Phone (406) 541-6844

Merit-based Incentive Payment System (MIPS)

Final score
81.78 of 100Reported as group
Quality
69.37
Promoting interoperability
100
Improvement activities
40
Cost
65.17

Merit-based Incentive Payment System (MIPS)

Final score
60.52 of 100Reported as group
Quality
0
Promoting interoperability
100
Improvement activities
40
Cost
68.38

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38677COMDOrthopaedic Surgery Physician
00353COMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Montana Gastroenterology, PLLC CurrentSince Dec 1, 2024 Accepting new patients
Ecgj Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 18, 2022 Accepting new patients
Centers for Gastroenterology CurrentSince Feb 1, 2024 Accepting new patients
Trinidad Area Health Association Past Accepting new patients
North Platte Nebraska Physician Group LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Jackson Hospital Corporation Nurse Anesthetist, Certified Registered Past Accepting new patients
Northwest Kansas Pain & Anesthesia, PA Past Accepting new patients
Clinical Partners PA Nurse Anesthetist, Certified Registered Past Accepting new patients
Northwest Anesthesia PC Nurse Anesthetist, Certified Registered Past Accepting new patients
Roswell Clinic Corp Past Accepting new patients
Anesthesiologist Associates of Hays, PA Past Accepting new patients
Ashland Hospital Corporation Nurse Anesthetist, Certified Registered Past Accepting new patients
Southwest Anesthesia, PC Past Accepting new patients

Locations

3702 S Timberline Rd
Ste A
Fort Collins, CO 80525
Phone (970) 207-9773

1035 Wellington Ave
Grand Junction, CO 81501
Phone (970) 242-6600

2555 E 13th St
Ste 220
Loveland, CO 80537
Phone (970) 669-5432

2555 E 13th St
Ste 210
Loveland, CO 80537
Phone (970) 461-6262

500 W Broadway St
Ste A
Missoula, MT 59802
Phone (406) 284-5560

1930 W Broadway St
Ste A
Missoula, MT 59808
Phone (406) 541-6844

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1467400473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3702 S TIMBERLINE RD STE A",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253625",
            "telephone_number": "970-207-9773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 E 13TH ST STE 220",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805375136",
            "telephone_number": "970-669-5432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "CAROL",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "CRNA PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CO",
            "license": "00353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

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