Kristopher Costello, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

TMP-155882 Issued in KS

Practice address

3001 Avenue a
Dodge City, KS 67801-2270

Phone

(620) 225-8400

NPI assigned

Jan 11, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS, NV, UT3 enrollments

Enrollment records 3

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emergenchealth PLLC 1,037 clinicians

US Anesthesia Partners of Kansas PA 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St. Catherine Hospital - Garden City Hospital, Garden City, KS, CCN 170023
• William Bee Ririe Hospital Hospital, Ely, NV, CCN 291302

Merit-based Incentive Payment System (MIPS)

Final score

82.33 of 100Reported as group

Quality

78.32

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

37.4 of 100Reported as group

Quality

27.48

Improvement activities

0

Cost

71.43

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Emergenchealth PLLC

  • Anesthesiology Physician
  • Fort Worth, TX
  • NPI 1467970897

  KS, Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• US Anesthesia Partners of Kansas PA

  • Anesthesiology Physician
  • Greenwood Village, CO
  • NPI 1811415599

  KS, Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Carson Tahoe Physician Hospital Organization, LLC

  • Anesthesiology Physician
  • Carson City, NV
  • NPI 1063169829

  Nurse Anesthetist, Certified Registered, NV

  Medicare reassignment NPD
• Mountain View Anesthesia LC

  • Anesthesiology Physician
  • Orem, UT
  • NPI 1043249840

  UT

  Medicare reassignment NPD
• William Bee Ririe Hospital

  • Critical Access Hospital
  • Ely, NV
  • NPI 1487648804

  NV

  Medicare reassignment NPD
• Clinical Colleagues KS PA

  • Anesthesiology Physician
  • Chanute, KS
  • NPI 1548813967

  KS

  Medicare reassignment
• William Bee Ririe Hospital

  • Family Nurse Practitioner
  • Eureka, NV
  • NPI 1407365711
  NPD
• William Bee Ririe Retail Pharmacy

  • Community/Retail Pharmacy
  • Ely, NV
  • NPI 1831729268
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Commonspirit Kansas, Inc.

  • General Acute Care Hospital
  • Garden City, KS
  • NPI 1659360196

  Hospital

  Care Compare affiliation
• William Bee Ririe Hospital

  • Critical Access Hospital
  • Ely, NV
  • NPI 1487648804

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1515628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515628800000",
    "number": "1629586649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 RAGAN RD",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678012950",
            "telephone_number": "928-660-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 AVENUE A",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678012270",
            "telephone_number": "620-225-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTELLO",
        "first_name": "KRISTOPHER",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-11",
        "last_updated": "2018-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "TMP-155882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Merrill R Conant, M.D.
• Catherine G Cooke, MD
• Maria C Cooper, LCPC
• Frank Rodney Copeland
• Timothy G Cornitius, MD
• Counseling and Mediation Center, Inc.
• County of Ford
• County of Ford
• Craig Resources LLC
• CRJ Counseling, LLC

• All providers in Dodge City, KS
• Certified Registered Nurse Anesthetist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2018; 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.