Active NPI
Noah Palmer Prebish
- Certified Registered Nurse Anesthetist
- Pueblo, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- C-APN.0100839-C-CRNA
- Practice address
- 400 W 16TH St
Pueblo, CO 81003-2781 - Phone
- (719) 595-7417
- NPI assigned
- Mar 27, 2023
- 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 | RN.417689 | OH | |
| Certified Registered Nurse Anesthetist | 367500000X | C-APN.0100839-C-CRNA | CO | Primary |
Addresses
Primary practice location
400 W 16TH St
Pueblo, CO 81003-2781
Mailing address
240 Collins Ave Unit 4
Columbus, OH 43215-1635
Phone (330) 730-2220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230627001799 | CO | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 1254799059 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2222 N Nevada Ave
Penrose Hospital
Colorado Springs, CO 80907-6819
Phone (303) 438-3999
400 W 16TH St
Pueblo, CO 81003-2745
Phone (719) 584-4921
Hospital & facility affiliations
- Parkview Medical Center, Inc
- Centura Health-Penrose St Francis Health Services
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.417689 | OH | MD | Registered Nurse |
| C-APN.0100839-C-CRNA | CO | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| US Anesthesia Partners of Colorado Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Poudre Valley Medical Group, LLC | Current | Accepting new patients | |
| Poudre Valley Medical Group, LLC | Current | Accepting new patients |
Locations
4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260
2222 N Nevada Ave
Colorado Springs, CO 80907
Phone (719) 776-5333
8000 E Maplewood Ave
Ste 120
Greenwood Village, CO 80111
10101 Ridgegate Pkwy
Lone Tree, CO 80124
Phone (720) 225-1000
1619 N Greenwood St
Ste 106
Pueblo, CO 81003
Phone (719) 595-7760
58 Club Manor Dr
Pueblo, CO 81008
Phone (719) 584-4045
400 W 16th St
Pueblo, CO 81003
Phone (719) 584-4000
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Greenwood Village, CO
- NPI 1922365782
CO, Nurse Anesthetist, Certified Registered
-
- General Practice Physician
- Loveland, CO
- NPI 1366763260
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1801436415
Hospital
-
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1932112125
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684800000000",
"number": "1558065540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 COLLINS AVE UNIT 4",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432151635",
"telephone_number": "330-730-2220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W 16TH ST",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810032781",
"telephone_number": "719-595-7417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PREBISH",
"first_name": "NOAH",
"middle_name": "PALMER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-27",
"last_updated": "2023-05-23",
"certification_date": "2023-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN.417689",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CO",
"license": "C-APN.0100839-C-CRNA",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.