Active NPI
Kristina Marie Pentz, CRNA
- Certified Registered Nurse Anesthetist
- Fort Collins, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APN.0990770-CRNA
- Practice address
- 1236 E Elizabeth St
Suite 1
Fort Collins, CO 80524-4000 - Phone
- (970) 224-2985
- Fax
- (970) 472-9381
- NPI assigned
- Jan 31, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | AC000918 | MD | |
| Certified Registered Nurse Anesthetist | 367500000X | APN.0990770-CRNA | CO | Primary |
Addresses
Primary practice location
1236 E Elizabeth St
Suite 1
Fort Collins, CO 80524-4000
Mailing address
1236 E Elizabeth St
Suite 1
Fort Collins, CO 80524-4000
Phone (970) 224-2985
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 53901584 | Medicaid | CO | |
| P01223543 | Other | CO | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, SC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Saint Francis Dr
Greenville, SC 29601-3955
Phone (864) 255-1000
125 Commonwealth Dr
Greenville, SC 29615-4812
Phone (864) 269-3419
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN.0990770-CRNA | CO | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Francis Hospital, Inc. | Current | Accepting new patients | |
| Northern Colorado Anesthesia Professionals PLLC | Current | Accepting new patients | |
| Palmetto Anesthesia Associates | Current | Accepting new patients | |
| St Francis Hospital Inc | Current | Accepting new patients | |
| Lifelinc Anesthesia, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| St. Francis Hospital, Inc. | Current | Accepting new patients |
Locations
1236 E Elizabeth St
Ste 1
Fort Collins, CO 80524
Phone (970) 484-6256
200 Exempla Cir
Lafayette, CO 80026
Phone (303) 689-4110
2500 Rocky Mountain Ave
Ste 200
Loveland, CO 80538
Phone (970) 297-6425
2500 Rocky Mountain Ave
Loveland, CO 80538
Phone (970) 297-6425
5 Stevens St
Ste 200
Greenville, SC 29605
Phone (864) 250-6484
5 Stevens St
Greenville, SC 29605
Phone (864) 250-6484
1 Saint Francis Dr
Greenville, SC 29601
Phone (864) 225-1000
125 Commonwealth Dr
Greenville, SC 29615
Phone (864) 225-1800
3340 Players Club Pkwy
Ste 350
Memphis, TN 38125
Phone (901) 207-2017
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 and National Provider Directory roles.
-
- Anesthesiology Physician
- Greenville, SC
- NPI 1750336079
-
- Anesthesiology Physician
- Fort Collins, CO
- NPI 1851389613
-
- Anesthesiology Physician
- Memphis, TN
- NPI 1801021464
Nurse Anesthetist, Certified Registered, SC
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1558305995
-
- Oncology Clinic/Center
- Greenville, SC
- NPI 1659175719
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1558613968
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1730123175
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1467496802
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1023418035
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1376899856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474502400000",
"number": "1558667154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1236 E ELIZABETH ST",
"address_2": "SUITE 1",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805244000",
"telephone_number": "970-224-2985",
"fax_number": "970-472-9381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1236 E ELIZABETH ST",
"address_2": "SUITE 1",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805244000",
"telephone_number": "970-224-2985",
"fax_number": "970-472-9381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENTZ",
"first_name": "KRISTINA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-31",
"last_updated": "2016-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MD",
"license": "AC000918",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CO",
"license": "APN.0990770-CRNA",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "53901584",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01223543",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.