Individual provider Active NPI

Christopher L Sampson, CRNA

  • Certified Registered Nurse Anesthetist
  • Hartford, KY
National Provider Identifier
1659677359
Registry record updated Dec 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3006816 Issued in KY
Practice address
1211 Main St
Hartford, KY 42347-1619
Phone
(270) 274-0480
Fax
(270) 274-0482
NPI assigned
Jan 28, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 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 3006816 KY Primary

Addresses

Primary practice location

1211 Main St
Hartford, KY 42347-1619

Mailing address

1020 N Main St
Beaver Dam, KY 42320-1553
Phone (270) 274-0480

Other identifiers 2

IdentifierTypeStateIssuer
1092419OtherKYRN LICENSE
3006816OtherKYAPRN LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110222000730 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 9830370089 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
Ohio County Hospital CorporationGroup PAC ID 3577477264, 84 clinicians

Practice addresses (Care Compare)

1211 Old Main St
Hartford, KY 42347-1619
Phone (270) 298-7411

Hospital & facility affiliations

  • Ohio County Hospital Hospital, Hartford, KY, CCN 181323

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3006816KYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio County Hospital Corporation Nurse Anesthetist, Certified Registered CurrentSince Feb 4, 2020 Accepting new patients
Ohio County Hospital Corporation CurrentSince Feb 4, 2020 Accepting new patients
Marshall County Anesthesia Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

1020 N Main St
Beaver Dam, KY 42320
Phone (270) 274-0480

20 E McMurtry Ave
Hartford, KY 42347
Phone (270) 504-1300

1211 S Main St
Hartford, KY 42347

1211 Old Main St
Hartford, KY 42347
Phone (270) 298-3806

1000 Breckenridge St
Ste 100
Owensboro, KY 42303
Phone (270) 683-2751

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 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": "1296172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417996800000",
    "number": "1659677359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 N MAIN ST",
            "city": "BEAVER DAM",
            "state": "KY",
            "postal_code": "423201553",
            "telephone_number": "270-274-0480",
            "fax_number": "270-274-0482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 MAIN ST",
            "city": "HARTFORD",
            "state": "KY",
            "postal_code": "423471619",
            "telephone_number": "270-274-0480",
            "fax_number": "270-274-0482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPSON",
        "first_name": "CHRISTOPHER",
        "middle_name": "L",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-28",
        "last_updated": "2014-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "3006816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "1092419",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "3006816",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.