Individual provider Active NPI

Derek Rogers, CRNA

  • Certified Registered Nurse Anesthetist
  • East Providence, RI
National Provider Identifier
1508836446
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP109787 Issued in TX
Practice address
1 Kettle Point Ave # 1
East Providence, RI 02914-5375
Phone
(401) 457-1500
NPI assigned
Jan 24, 2006
Last updated
Jun 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X APRN04344 RI
Certified Registered Nurse Anesthetist 367500000X AP109787 TX Primary
Certified Registered Nurse Anesthetist 367500000X RN10005324 MA

Addresses

Primary practice location

1 Kettle Point Ave # 1
East Providence, RI 02914-5375

Mailing address

248 Hope St
Bristol, RI 02809-2028
Phone (210) 823-8319

Other practice location 1

531 Faunce Corner Rd
Dartmouth, MA 02747-1242
Phone (508) 996-3991

Other practice location 2

88 Washington St
Taunton, MA 02780-2499
Phone (508) 828-7100

Other practice location 3

500 Faunce Corner Rd
Dartmouth, MA 02747-1278
Phone (508) 717-0270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241119001857 MA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2961485701 Reassigns benefits to 3 organizations
I20250404001198 RI Practitioner - Certified Registered Nurse Anesthetist (Crna) 2961485701 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1996
Medicare assignment
May accept Medicare assignment
Group practices
Narragansett Bay Anesthesia LLCGroup PAC ID 5991774929, 95 clinicians
Lifespan Physician Group of Massachusetts IncGroup PAC ID 3870020399, 458 clinicians

Practice addresses (Care Compare)

455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 737-7000

795 Middle St
Fall River, MA 02721-1733
Phone (508) 674-5600

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc Nurse Anesthetist, Certified Registered CurrentSince Feb 3, 2025 Accepting new patients
Lifespan Physician Group of Massachusetts Inc CurrentSince Jan 1, 2025 Accepting new patients
Steward Medical Group, Inc CurrentSince Feb 3, 2025 Accepting new patients
Anesthesia Professionals, Inc. Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2024 Accepting new patients
Narragansett Bay Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 23, 2025 Accepting new patients
North Texas Anesthesiology,PLLC PastSince Jul 10, 2006 Accepting new patients

Locations

138 Haverhill St
Andover, MA 01810
Phone (978) 296-2302

795 Middle St
Fall River, MA 02721
Phone (508) 235-5046

145 West St
Milford, MA 01757
Phone (508) 381-5600

500 Faunce Corner Rd
Ste 180
North Dartmouth, MA 02747
Phone (508) 717-0270

531 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 991-2255

146 Industrial Park Rd
Plymouth, MA 02360
Phone (508) 833-6000

88 Washington St
Taunton, MA 02780
Phone (508) 828-7000

255 W Michigan Ave
Jackson, MI 49201

400 10th St E
Waconia, MN 55387

1 Kettle Point Ave
#1
East Providence, RI 02914

825 Chalkstone Ave
Providence, RI 02908
Phone (401) 456-2000

455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1508836446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 HOPE ST",
            "city": "BRISTOL",
            "state": "RI",
            "postal_code": "028092028",
            "telephone_number": "210-823-8319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 KETTLE POINT AVE # 1",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029145375",
            "telephone_number": "401-457-1500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "531 Faunce Corner Rd",
            "address_purpose": "LOCATION",
            "city": "Dartmouth",
            "state": "MA",
            "postal_code": "027471242",
            "country_code": "US",
            "telephone_number": "508-996-3991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "88 Washington St",
            "address_purpose": "LOCATION",
            "city": "Taunton",
            "state": "MA",
            "postal_code": "027802499",
            "country_code": "US",
            "telephone_number": "508-828-7100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Faunce Corner Rd",
            "address_purpose": "LOCATION",
            "city": "Dartmouth",
            "state": "MA",
            "postal_code": "027471278",
            "country_code": "US",
            "telephone_number": "508-717-0270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "DEREK",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "RI",
            "license": "APRN04344",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP109787",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MA",
            "license": "RN10005324",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; 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.