Individual provider Active NPI

Sara Caitlin Koerth, CRNA

  • Certified Registered Nurse Anesthetist
  • Lufkin, TX
National Provider Identifier
1689445108
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1149603 Issued in TX
Practice address
1204 W Frank Ave
Lufkin, TX 75904-3304
Phone
(936) 634-8111
NPI assigned
Jan 12, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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 1149603 TX Primary

Addresses

Primary practice location

1204 W Frank Ave
Lufkin, TX 75904-3304

Mailing address

PO Box 631456
Nacogdoches, TX 75963-1456
Phone (936) 554-6995

Other names 1

  • Sara Caitlin Witcher Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240415001120 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 7416396114 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergenchealth PLLCGroup PAC ID 1355606641, 1,037 clinicians
The Center for Sight, PAGroup PAC ID 0345137097, 6 clinicians

Practice addresses (Care Compare)

1 Medical PLZ
Pampa Regional Medctr
Pampa, TX 79065-3525
Phone (806) 663-5615

2 Medical Ctr Blvd
Lufkin, TX 75904-3173
Phone (409) 634-8434

Hospital & facility affiliations

  • CHI St Lukes Health Memorial Lufkin Hospital, Lufkin, TX, CCN 450211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1149603TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Sight, PA Current Accepting new patients
Texas Anesthesia Partners, PLLC CurrentSince Aug 1, 2024 Accepting new patients
Grasshopper Anesthesia Services PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 30, 2024 Accepting new patients
Emergenchealth PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 11, 2024 Accepting new patients
The Center for Sight, PA CurrentSince Sep 24, 2024 Accepting new patients
Youngs Professional Services LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 11, 2024 Accepting new patients
Pineywoods Pathology PA PastSince Jan 14, 2024 Accepting new patients
Memorial Health System of East Texas PastSince Jan 14, 2024 Accepting new patients

Locations

700 Highlander Blvd
Ste 415
Arlington, TX 76015
Phone (817) 330-1102

7502 Greenville Ave
Dallas, TX 75231
Phone (469) 221-6000

2 Medical Center Blvd
Lufkin, TX 75904
Phone (409) 634-8434

1204 N Mound St
Nacogdoches, TX 75961
Phone (936) 564-4611

3302 NE Stallings Dr
Nacogdoches, TX 75965
Phone (936) 564-2411

4920 NE Stallings Dr
Nacogdoches, TX 75965
Phone (936) 568-3441

7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000

1305 Wonder World Dr
Ste 105
San Marcos, TX 78666
Phone (512) 353-8161

421 E State Highway 114
Southlake, TX 76092
Phone (817) 865-4400

2850 E Highway 114
Trophy Club, TX 76262
Phone (817) 837-4600

Organizations & group practices 8

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": "1705017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1689445108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631456",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759631456",
            "telephone_number": "936-554-6995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 W FRANK AVE",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043304",
            "telephone_number": "936-634-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOERTH",
        "first_name": "SARA",
        "middle_name": "CAITLIN",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-12",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "1149603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "WITCHER",
            "middle_name": "CAITLIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lufkin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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.