Individual provider Active NPI

Rafferty Craig Sorensen, CRNA

  • Certified Registered Nurse Anesthetist
  • Cooperstown, NY
National Provider Identifier
1609176338
Registry record updated Feb 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
53204 Issued in ID
Practice address
1 Atwell Rd
Cooperstown, NY 13326-1301
Phone
(607) 547-3153
Fax
(607) 547-6539
NPI assigned
Oct 28, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2017

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 53204 ID Primary

Addresses

Primary practice location

1 Atwell Rd
Cooperstown, NY 13326-1301

Mailing address

PO Box 725
Cooperstown, NY 13326-0725
Phone (607) 547-3153

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160824000613 ID Practitioner - Certified Registered Nurse Anesthetist (Crna) 7719167139 Reassigns benefits to 4 organizations
I20251230003389 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 7719167139 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rock Creek Anesthesia Services PLLCGroup PAC ID 1355604299, 6 clinicians
TRH Anesthesia LLCGroup PAC ID 2062866395, 15 clinicians
St Lukes Clinic LLCGroup PAC ID 1052217478, 313 clinicians

Practice addresses (Care Compare)

115 Falls Ave W
Twin Falls, ID 83301-3115
Phone (208) 734-3356

1700 Old Lebanon Rd
Campbellsville, KY 42718-9615
Phone (270) 465-3561

575 Pole Line Rd W
Twin Falls, ID 83301-9998
Phone (208) 814-9200

746 N College Rd
Twin Falls, ID 83301-3486

Hospital & facility affiliations

  • St Lukes Magic Valley Medical Center Hospital, Twin Falls, ID, CCN 130002

Merit-based Incentive Payment System (MIPS)

Final score
85.09 of 100Reported as group
Quality
77.1
Promoting interoperability
100
Improvement activities
40
Cost
73.19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53204IDMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
TRH Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2025 Accepting new patients
St Luke'S Clinic LLC CurrentSince Jul 8, 2016 Accepting new patients
Rock Creek Anesthesia Services PLLC CurrentSince Mar 1, 2024 Accepting new patients
Syringa General Hospital District C I F CurrentSince Oct 18, 2025 Accepting new patients
Syringa General Hospital District C I F CurrentSince Oct 18, 2025 Accepting new patients
Ambulatory Surgery Center of Burley, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 29, 2017 Accepting new patients
St Luke'S Magic Valley Regional Medical Center LTD Past Accepting new patients

Locations

190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378

1344 Hiland Ave
Ste E
Burley, ID 83318
Phone (208) 677-8688

607 W Main St
Grangeville, ID 83530
Phone (208) 983-1700

115 Falls Ave W
Twin Falls, ID 83301
Phone (208) 732-8784

746 N College Rd
Ste D
Twin Falls, ID 83301
Phone (208) 814-7230

1502 Locust St N
Twin Falls, ID 83301

1502 Locust St N
Ste 100
Twin Falls, ID 83301
Phone (208) 529-6600

1700 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561

Organizations & group practices 7

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.

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": "1288224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486598400000",
    "number": "1609176338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 725",
            "city": "COOPERSTOWN",
            "state": "NY",
            "postal_code": "133260725",
            "telephone_number": "607-547-3153",
            "fax_number": "607-547-6539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ATWELL RD",
            "city": "COOPERSTOWN",
            "state": "NY",
            "postal_code": "133261301",
            "telephone_number": "607-547-3153",
            "fax_number": "607-547-6539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORENSEN",
        "first_name": "RAFFERTY",
        "middle_name": "CRAIG",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-28",
        "last_updated": "2017-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ID",
            "license": "53204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cooperstown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; 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.