Individual provider Active NPI

Theresa Diane Keefer, CRNA

  • Certified Registered Nurse Anesthetist
  • Canon City, CO
National Provider Identifier
1477857274
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APN.0100024-CRNA Issued in CO
Practice address
1338 Phay Ave
Canon City, CO 81212-2311
Phone
(719) 285-2861
Fax
(719) 285-2101
NPI assigned
Jan 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 APN.0100024-CRNA CO Primary

Addresses

Primary practice location

1338 Phay Ave
Canon City, CO 81212-2311

Mailing address

2920 N Cascade Ave
FL 3
Colorado Springs, CO 80907-6262
Phone (719) 285-2861

Other practice location 1

584 W Spaulding Ave S
Pueblo West, CO 81007-1874
Phone (225) 776-2253

Other practice location 2

1008 Minnequa Ave
Pueblo, CO 81004-3733
Phone (719) 557-4221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, WY, NE3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20110914000739 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 8628249000 Reassigns benefits to 6 organizations
I20240517003150 WY Practitioner - Certified Registered Nurse Anesthetist (Crna) 8628249000 Reassigns benefits to 1 organization
I20260416002143 NE Practitioner - Certified Registered Nurse Anesthetist (Crna) 8628249000 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diehl Anesthesia IncGroup PAC ID 6800197575, 35 clinicians
Campbell County Hospital DistrictGroup PAC ID 2860392529, 128 clinicians
North Platte Nebraska Hospital CorporationGroup PAC ID 6507856697, 237 clinicians

Practice addresses (Care Compare)

1390 Dry Creek Dr
Suite B
Longmont, CO 80503-6505
Phone (303) 805-7477

501 S Burma Ave
Gillette, WY 82716-3426
Phone (307) 688-1000

601 W Leota St
North Platte, NE 69101-6525

Hospital & facility affiliations

  • Campbell County Health Hospital, Gillette, WY, CCN 530002

Merit-based Incentive Payment System (MIPS)

Final score
94.89 of 100Reported as apm
Quality
86.88
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.8 of 100Reported as group
Quality
85
Improvement activities
40
Cost
76.83

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.0100024-CRNACOMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Trinidad Area Health Association CurrentSince May 20, 2016 Accepting new patients
Guardian Anesthesia Services, Inc CurrentSince Jul 18, 2017 Accepting new patients
Trinidad Area Health Association Current Accepting new patients
Huerfano County Hospital District CurrentSince Oct 26, 2021 Accepting new patients
Campbell County Hospital District Current Accepting new patients
Campbell County Hospital District Current Accepting new patients
US Anesthesia Partners of Colorado Inc. Nurse Anesthetist, Certified Registered CurrentSince Sep 27, 2021 Accepting new patients
Huerfano County Hospital District CurrentSince Oct 26, 2021 Accepting new patients
Campbell County Hospital District CurrentSince Apr 8, 2024 Accepting new patients
Campbell County Hospital District CurrentSince Apr 8, 2024 Accepting new patients
Trinidad Area Health Association CurrentSince May 20, 2016 Accepting new patients
Anesthesia of the Rocky Mountains, LLC CurrentSince Jun 1, 2022 Accepting new patients
Diehl Anesthesia Inc CurrentSince Feb 2, 2026 Accepting new patients

Locations

2222 N Nevada Ave
Colorado Springs, CO 80907
Phone (719) 776-5333

1699 Medical Center Pt
Colorado Springs, CO 80907
Phone (719) 387-2144

2525 S Downing St
Denver, CO 80210
Phone (303) 744-2706

8000 E Maplewood Ave
Ste 120
Greenwood Village, CO 80111

10101 Ridgegate Pkwy
Lone Tree, CO 80124
Phone (720) 225-1000

1390 Dry Creek Dr
Ste B
Longmont, CO 80503
Phone (303) 805-7477

9395 Crown Crest Blvd
Parker, CO 80138
Phone (303) 269-4000

1008 Minnequa Ave
Pueblo, CO 81004
Phone (719) 557-5656

410 Benedicta Ave
Trinidad, CO 81082
Phone (719) 846-8051

400 Benedicta Ave
Ste A
Trinidad, CO 81082
Phone (719) 846-2206

23500 US Highway 160
Walsenburg, CO 81089
Phone (719) 738-5100

501 S Burma Ave
Gillette, WY 82716
Phone (307) 682-8811

Organizations & group practices 14

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 14

Hospital & facility affiliations 2

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": "1294358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1477857274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 N CASCADE AVE",
            "address_2": "FL 3",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076262",
            "telephone_number": "719-285-2861",
            "fax_number": "719-285-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1338 PHAY AVE",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812122311",
            "telephone_number": "719-285-2861",
            "fax_number": "719-285-2101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "584 W Spaulding Ave S",
            "address_purpose": "LOCATION",
            "city": "Pueblo West",
            "state": "CO",
            "postal_code": "810071874",
            "country_code": "US",
            "telephone_number": "225-776-2253",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1008 Minnequa Ave",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810043733",
            "country_code": "US",
            "telephone_number": "719-557-4221",
            "fax_number": "719-557-3834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEEFER",
        "first_name": "THERESA",
        "middle_name": "DIANE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CO",
            "license": "APN.0100024-CRNA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canon City, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.