Active NPI
Rafferty Craig Sorensen, CRNA
- Certified Registered Nurse Anesthetist
- Cooperstown, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 53204
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, KY
Enrollment records 2
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
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.09 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 53204 | ID | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TRH Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| St Luke'S Clinic LLC | Current | Accepting new patients | |
| Rock Creek Anesthesia Services PLLC | Current | Accepting new patients | |
| Syringa General Hospital District C I F | Current | Accepting new patients | |
| Syringa General Hospital District C I F | Current | Accepting new patients | |
| Ambulatory Surgery Center of Burley, LLC | Nurse Anesthetist, Certified Registered | Current | 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.
-
- Anesthesiology Physician
- Twin Falls, ID
- NPI 1790284198
-
- Family Medicine Physician
- Twin Falls, ID
- NPI 1790718229
-
- Anesthesiology Physician
- Campbellsville, KY
- NPI 1366120370
Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- Burley, ID
- NPI 1992706840
Nurse Anesthetist, Certified Registered
-
- Critical Access Hospital
- Grangeville, ID
- NPI 1750336608
-
- Primary Care Clinic/Center
- Grangeville, ID
- NPI 1073802492
-
- Community/Retail Pharmacy
- Twin Falls, ID
- NPI 1760203921
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Twin Falls, ID
- NPI 1932154705
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.