Individual provider Active NPI

Karen L Trace, CRNA

  • Certified Registered Nurse Anesthetist
  • Toledo, OH
National Provider Identifier
1518936095
Registry record updated Oct 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN241933 Issued in OH
Practice address
2213 Cherry St
Toledo, OH 43608
Phone
(419) 251-3232
NPI assigned
Mar 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN241933 OH Primary

Addresses

Primary practice location

2213 Cherry St
Toledo, OH 43608

Mailing address

2409 Cherry St
#305
Toledo, OH 43608
Phone (419) 251-3740

Other identifiers 2

IdentifierTypeStateIssuer
2564096MedicaidOH
P00742228OtherOHTRAVELERS RR MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050428000626 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 0840274023 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology Specialists IncGroup PAC ID 5991604860, 18 clinicians
Optimum AnesthesiaGroup PAC ID 9638326432, 65 clinicians

Practice addresses (Care Compare)

2726 Fulton Dr NW
Canton, OH 44718-3506
Phone (330) 455-5011

4319 Executive Cir NW
Canton, OH 44718-2999
Phone (330) 526-0530

Merit-based Incentive Payment System (MIPS)

Final score
88.59 of 100Reported as group
Quality
83.4
Promoting interoperability
100
Improvement activities
40
Cost
78.58

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Optimum Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Feb 27, 2023 Accepting new patients
Wooster Pain and Anesthesia Center LLC CurrentSince Mar 1, 2016 Accepting new patients
Gastroenterology Specialists Inc CurrentSince May 1, 2020 Accepting new patients
Gastroenterology Specialists Inc CurrentSince May 1, 2020 Accepting new patients
Gastroenterology Group Inc CurrentSince Mar 15, 2012 Accepting new patients
Comprehensive Care Anesthesia Services Inc Past Accepting new patients
Aultman North Canton Medical Group Past Accepting new patients
Professional Anesthesia Service Inc PastSince Apr 29, 1998 Accepting new patients
St. Joseph Mercy Hospital Crna Group Nurse Anesthetist, Certified Registered Past Accepting new patients
Elyria Anesthesia Incorporated PastSince May 17, 1993 Accepting new patients
Straith Hospital for Special Surgery Past Accepting new patients

Locations

570 White Pond Dr
Ste 150
Akron, OH 44320
Phone (330) 869-0173

570 White Pond Dr
Ste 200
Akron, OH 44320

4319 Executive Cir NW
Canton, OH 44718
Phone (330) 526-0530

2726 Fulton Dr NW
Canton, OH 44718
Phone (330) 455-5011

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000

225 Elyria St
Lodi, OH 44254
Phone (330) 948-1222

875 8th St NE
Massillon, OH 44646
Phone (216) 832-8761

195 Wadsworth Rd
Wadsworth, OH 44281
Phone (330) 331-1000

3373 Commerce Pkwy
Ste 1
Wooster, OH 44691
Phone (330) 804-2000

3373 Commerce Pkwy
Ste 3
Wooster, OH 44691
Phone (330) 284-9119

1761 Beall Ave
Wooster, OH 44691
Phone (330) 263-8100

1031 W Western Reserve Rd
Youngstown, OH 44514
Phone (330) 746-7691

Interoperability endpoints

  • FHIR API: https://a8580225-25d6-4812-a463-58e49a80f214.gastro.prod.fhir.ema-api.com/fhir/r4/

Organizations & group practices 11

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256774400000",
    "number": "1518936095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2409 CHERRY ST",
            "address_2": "#305",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "43608",
            "telephone_number": "419-251-3740",
            "fax_number": "419-251-3859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2213 CHERRY ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "43608",
            "telephone_number": "419-251-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRACE",
        "first_name": "KAREN",
        "middle_name": "L",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-16",
        "last_updated": "2009-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "RN241933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2564096",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS RR MEDICARE",
            "identifier": "P00742228",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; 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.