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

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.

Medicare Care Compare profile

Merit-based Incentive Payment System (MIPS)

Final score
82.73 of 100 (group)
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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
R21570NDMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Medical Center Fargo Current
since Feb 7, 2022
Accepting new patients
Grand Forks Anesthesia Associates Nurse Anesthetist, Certified Registered Current
since Aug 1, 2020
Accepting new patients
Sanford Medical Center Fargo Current
since Feb 7, 2022
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
430073023OtherRR MEDICARE
563519500MedicaidMN
022549OtherNDBCBS
116M8ADOtherMNBCBS
12122MedicaidND

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 23, 2008.

{
    "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

All providers in Grand Forks, ND · Certified Registered Nurse Anesthetist in North Dakota

Sources for this page

Verify at the official NPI Registry.