Darla J Adams, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Grand Forks, ND
NPI 1497862049 · NPPES record last updated Apr 23, 2008
Key facts
- NPI
- 1497862049
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- R21570 (ND)
- Practice address
- 3035 Demers Ave
Grand Forks, ND 58201-4040 - Phone
- (701) 775-3151
- NPI assigned
- Aug 23, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.73 of 100
- Quality
- 71.75
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.68
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060127000306 | ND | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 7810901907 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R21570 | ND | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Medical Center Fargo | Current |
Accepting new patients | |
| Grand Forks Anesthesia Associates | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Sanford Medical Center Fargo | Current |
Accepting new patients | |
| Grand Forks Anesthesia Services PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
400 10th St E
Waconia, MN 55387
3035 Demers Ave
Grand Forks, ND 58201
Phone (701) 746-6694
2600 47th Ave S
Grand Forks, ND 58201
Phone (701) 738-4240
1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R21570 | ND | Yes |
Addresses
Primary practice location
3035 Demers Ave
Grand Forks, ND 58201-4040
Mailing address
3366 Desert Star LN
Grand Forks, ND 58201-5823
Phone (701) 746-7441
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 430073023 | Other | RR MEDICARE | |
| 563519500 | Medicaid | MN | |
| 022549 | Other | ND | BCBS |
| 116M8AD | Other | MN | BCBS |
| 12122 | Medicaid | ND |
NPI Registry JSON
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208908800000",
"number": "1497862049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3366 DESERT STAR LN",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582015823",
"telephone_number": "701-746-7441",
"fax_number": "701-746-7447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3035 DEMERS AVE",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582014040",
"telephone_number": "701-775-3151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "DARLA",
"middle_name": "J",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-23",
"last_updated": "2008-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ND",
"license": "R21570",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "430073023",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "563519500",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "022549",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "116M8AD",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "12122",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Forks, ND
- Jan Stegmaier Ackley
- Jessica Lynn Adam
- Margo Adams Larsen
- Allison Adams
- Catherine A. Adams
- Edward L Adams
- Jill E Adams
- Kelsey Anne Adams
- Kelsey Marie Adams
- Seye Adekeye
All providers in Grand Forks, ND · Certified Registered Nurse Anesthetist in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.