Active NPI
Christan Ford, CRNA
- Certified Registered Nurse Anesthetist
- Fremont, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 101132
- Practice address
- 450 E 23Rd St
Fremont, NE 68025-2303 - Phone
- (402) 727-3396
- Fax
- (402) 727-3749
- NPI assigned
- Jun 22, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 124602 | IA | |
| Certified Registered Nurse Anesthetist | 367500000X | 101132 | NE | Primary |
Addresses
Primary practice location
450 E 23Rd St
Fremont, NE 68025-2303
Mailing address
825 S 169TH St FL 3
Omaha, NE 68118-9300
Phone (402) 354-4822
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184603201 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160222002023 | NE | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 5395879274 | Reassigns benefits to 4 organizations |
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
Practice addresses (Care Compare)
1600 N 48TH St
Lincoln, NE 68506-1283
Phone (402) 489-0200
450 E 23Rd St
Fremont, NE 68025-2387
Phone (402) 721-1610
7500 Mercy Rd
Suite 1355
Omaha, NE 68124-2319
Phone (402) 717-4866
Hospital & facility affiliations
- Methodist Fremont Health
- Bryan Medical Center
- CHI Health Immanuel
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 124602 | IA | MD | Certified Registered Nurse Anesthetist |
| 101132 | NE | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Methodist Fremont Health | Current | Accepting new patients | |
| CHI Health Clinic Physician Enterprise-Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Associated Anesthesiologists PC | Current | Accepting new patients | |
| Nebraska Methodist Hospital | Current | Accepting new patients | |
| CHI Health Clinic Physician Enterprise-Anesthesia LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
450 E 23rd St
Fremont, NE 68025
Phone (402) 721-1610
1600 S 48th St
Lincoln, NE 68506
Phone (402) 481-9049
2900 S 70th St
Ste 250
Lincoln, NE 68506
Phone (402) 489-4186
207 S Engdahl Ave
Oakland, NE 68045
Phone (402) 685-5683
6901 N 72nd St
Omaha, NE 68122
Phone (402) 572-2121
7500 Mercy Rd
Ste 1355
Omaha, NE 68124
Phone (402) 717-4866
825 S 169th St
Fl 3
Omaha, NE 68118
Phone (402) 354-5451
Interoperability endpoints
- christan.ford@direct.nmhs.org
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Omaha, NE
- NPI 1356858419
NE, Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1427147883
-
- Anesthesiology Physician
- Council Bluffs, IA
- NPI 1639687114
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1912085184
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677110400000",
"number": "1477874709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 S 169TH ST FL 3",
"city": "OMAHA",
"state": "NE",
"postal_code": "681189300",
"telephone_number": "402-354-4822",
"fax_number": "402-354-5454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 E 23RD ST",
"city": "FREMONT",
"state": "NE",
"postal_code": "680252303",
"telephone_number": "402-727-3396",
"fax_number": "402-727-3749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "CHRISTAN",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-22",
"last_updated": "2023-02-23",
"certification_date": "2023-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IA",
"license": "124602",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NE",
"license": "101132",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1184603201",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fremont, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.