Individual provider Active NPI

Brian R. Knopp, CRNA, BSN, MSN

  • Certified Registered Nurse Anesthetist
  • Omak, WA
National Provider Identifier
1649680620
Registry record updated Apr 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP60451290 Issued in WA
Practice address
810 Jasmine St
Omak, WA 98841
Phone
(509) 826-1750
NPI assigned
Apr 30, 2014
Last updated
Apr 30, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2014

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 AP60451290 WA Primary

Addresses

Primary practice location

810 Jasmine St
Omak, WA 98841

Mailing address

PO Box 793
810 Jasmine St
Omak, WA 98841-0793
Phone (509) 826-1760

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150728005292 HI Practitioner - Certified Registered Nurse Anesthetist (Crna) 7618292251 Reassigns benefits to 2 organizations
I20240417001348 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7618292251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Management Services of California IncGroup PAC ID 0840626040, 16 clinicians
Koolau Anesthesia Group LLCGroup PAC ID 3274929724, 20 clinicians

Practice addresses (Care Compare)

275 Hospital Dr
Ukiah, CA 95482-4531
Phone (707) 462-3111

640 Ulukahiki St
Kailua, HI 96734-4454
Phone (808) 263-5500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Certified Registered Nurse, Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
1904HIMDOrthodontics and Dentofacial Orthopedic Dentist
AP60451290WAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Management Services of California Inc Nurse Anesthetist, Certified Registered CurrentSince Feb 17, 2024 Accepting new patients
Koolau Anesthesia Group, LLC CurrentSince Mar 15, 2022 Accepting new patients
Pec Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 6, 2022 Accepting new patients

Locations

275 Hospital Dr
Ukiah, CA 95482
Phone (707) 462-7900

1401 S Beretania St
Ste 200
Honolulu, HI 96814
Phone (808) 312-6700

640 Ulukahiki St
Kailua, HI 96734
Phone (808) 261-3326

642 Ulukahiki St
Ste 200
Kailua, HI 96734
Phone (808) 218-6850

1029 Makolu St
Ste H
Pearl City, HI 96782
Phone (808) 456-6420

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1398816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398816000000",
    "number": "1649680620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 793",
            "address_2": "810 JASMINE ST",
            "city": "OMAK",
            "state": "WA",
            "postal_code": "988410793",
            "telephone_number": "509-826-1760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 JASMINE ST",
            "city": "OMAK",
            "state": "WA",
            "postal_code": "98841",
            "telephone_number": "509-826-1750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOPP",
        "first_name": "BRIAN",
        "middle_name": "R.",
        "name_prefix": "Mr.",
        "credential": "CRNA, BSN, MSN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-30",
        "last_updated": "2014-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "AP60451290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omak, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2014; 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.