Active NPI
Cory Prewitt, CRNA
- Certified Registered Nurse Anesthetist
- Owensboro, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 3010698
- Practice address
- 1201 Pleasant Valley Rd
Owensboro, KY 42303-9811 - Phone
- (270) 417-2000
- NPI assigned
- Sep 8, 2016
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN0000180432 | TN | |
| Certified Registered Nurse Anesthetist | 367500000X | 3010698 | KY | Primary |
Addresses
Primary practice location
1201 Pleasant Valley Rd
Owensboro, KY 42303-9811
Mailing address
6225 N State Highway 161 Ste 200
Irving, TX 75038-2241
Phone (214) 687-0001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161010001865 | KY | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 6305134248 | Reassigns benefits to 5 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Anesthesia Dynamics LLCOhio County Hospital Corporation
Practice addresses (Care Compare)
110 Metker TRL
Stanford, KY 40484-1020
Phone (606) 365-4771
1211 Old Main St
Hartford, KY 42347-1619
Phone (270) 298-7411
Hospital & facility affiliations
- Ohio County Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN0000180432 | TN | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Commonwealth Anesthesia, PSC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Ohio County Hospital Corporation | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Ad of Kentucky PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Ohio County Hospital Corporation | Current | Accepting new patients | |
| Northstar Anesthesia of Kentucky, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
20 E McMurtry Ave
Hartford, KY 42347
Phone (270) 504-1300
1211 Old Main St
Hartford, KY 42347
Phone (270) 298-3806
310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612
225 Abraham Flexner Way
Ste 700
Louisville, KY 40202
Phone (502) 562-0398
1099 Medical Center Cir
Mayfield, KY 42066
Phone (270) 251-4100
1201 Pleasant Valley Rd
Owensboro, KY 42303
Phone (270) 417-2000
1000 Breckenridge St
Ste 100
Owensboro, KY 42303
Phone (270) 683-2751
110 Metker Trl
Stanford, KY 40484
Phone (606) 365-3360
6225 State Highway 161
Ste 200
Irving, TX 75038
Phone (214) 687-0496
Organizations & group practices 15
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.
-
- Certified Registered Nurse Anesthetist
- Hartford, KY
- NPI 1740812031
KY, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
KY, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Owensboro, KY
- NPI 1376415596
KY, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Lexington, KY
- NPI 1437196300
KY, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Louisville, KY
- NPI 1386938900
KY, Nurse Anesthetist, Certified Registered
-
- Community Based Hospice Care Agency
- Hartford, KY
- NPI 1255497574
-
- Medicare Defined Swing Bed Hospital Unit
- Hartford, KY
- NPI 1316979149
-
- Surgery Physician
- Hartford, KY
- NPI 1407049000
-
- Critical Access Hospital
- Hartford, KY
- NPI 1629007430
-
- Sleep Medicine (Internal Medicine) Physician
- Hartford, KY
- NPI 1720941321
-
- Rural Health Clinic/Center
- Fordsville, KY
- NPI 1750447231
-
- Rural Health Clinic/Center
- Morgantown, KY
- NPI 1902226590
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": "1473292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473292800000",
"number": "1508313396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6225 N STATE HIGHWAY 161 STE 200",
"city": "IRVING",
"state": "TX",
"postal_code": "750382241",
"telephone_number": "214-687-0001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 PLEASANT VALLEY RD",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423039811",
"telephone_number": "270-417-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PREWITT",
"first_name": "CORY",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-09-08",
"last_updated": "2016-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "RN0000180432",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KY",
"license": "3010698",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Owensboro, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; 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.