Individual provider Active NPI

Alexander Rorie, CRNA

  • Certified Registered Nurse Anesthetist
  • Rochester, NY
National Provider Identifier
1508216722
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP61055260 Issued in WA
Practice address
20 Audley Way
Rochester, NY 14610-2702
Phone
(136) 056-1225
NPI assigned
Jun 18, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 636577-1 NY
Certified Registered Nurse Anesthetist 367500000X 636577 NY
Certified Registered Nurse Anesthetist 367500000X AP61055260 WA Primary

Addresses

Primary practice location

20 Audley Way
Rochester, NY 14610-2702

Mailing address

20 Audley Way
Rochester, NY 14610-2702
Phone (136) 056-1225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210412002640 WA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2567710742 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Associates Northwest LLCGroup PAC ID 7618908484, 80 clinicians

Practice addresses (Care Compare)

8506 E Mill Plain Blvd
Suite C
Vancouver, WA 98664-2021
Phone (360) 823-0883

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
636577-1NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Associates Northwest LLC CurrentSince Feb 15, 2022 Accepting new patients
Public Hospital District No 1 of Mason County Wa CurrentSince Apr 15, 2021 Accepting new patients
Public Hospital District No 1 of Mason County Nurse Anesthetist, Certified Registered CurrentSince Dec 10, 2023 Accepting new patients
Public Hospital District No 1 of Mason County CurrentSince Apr 15, 2021 Accepting new patients
Public Hospital District No 1 of Mason County Current Accepting new patients

Locations

400 10th St E
Waconia, MN 55387

901 Mountain View Dr
Bldg 1
Shelton, WA 98584
Phone (360) 426-1611

901 Mountain View Dr
Shelton, WA 98584
Phone (360) 426-1611

8506 E Mill Plain Blvd
Ste C
Vancouver, WA 98664
Phone (360) 823-0880

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1466208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1508216722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 AUDLEY WAY",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146102702",
            "telephone_number": "136-056-1225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 AUDLEY WAY",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146102702",
            "telephone_number": "136-056-1225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RORIE",
        "first_name": "ALEXANDER",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-18",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "636577-1",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "636577",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "AP61055260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.