Individual provider Active NPI

Katherine Brooks Ingram, CRNA

  • Certified Registered Nurse Anesthetist
  • Newton, MA
National Provider Identifier
1699047605
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
CRNA - Issued in NM
Practice address
2014 Washington St
Newton, MA 02462-1607
Phone
(617) 243-6298
Fax
(505) 841-1956
NPI assigned
Feb 7, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN0000169920 TN
Certified Registered Nurse Anesthetist 367500000X CRNA - NM Primary

Addresses

Primary practice location

2014 Washington St
Newton, MA 02462-1607

Mailing address

1720 Louisiana Blvd NE
Suite #401
Albuquerque, NM 87110-7022
Phone (505) 260-4300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140717000201 MA Practitioner - Certified Registered Nurse Anesthetist (Crna) 9931362332 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Commonwealth Anesthesia Associates, IncGroup PAC ID 9739151143, 88 clinicians
BMC Affiliated Physicians, Inc.Group PAC ID 9830133123, 543 clinicians

Practice addresses (Care Compare)

2014 Washington St
Newton, MA 02462-1607
Phone (617) 243-6298

235 N Pearl St
Brockton, MA 02301-1794
Phone (508) 427-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CRNA -NMMDCertified Registered Nurse Anesthetist
RN0000169920TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Winchester Anesthesia Associates, Inc CurrentSince Mar 1, 2026 Accepting new patients
Winchester Anesthesia Associates 2 Inc CurrentSince Mar 1, 2026 Accepting new patients
BMC Affiliated Physicians, Inc. CurrentSince Dec 1, 2025 Accepting new patients
Capa Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 24, 2025 Accepting new patients
Commonwealth Anesthesia Associates, Inc CurrentSince May 8, 2018 Accepting new patients
Cap Anesthesia, PC Past Accepting new patients
Anesthesia Associates of New Mexico P C Past Accepting new patients

Locations

235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525

2014 Washington St
Newtonville, MA 02462
Phone (617) 243-6000

40 Holland St
Somerville, MA 02144
Phone (617) 629-6000

41 Highland Ave
Winchester, MA 01890
Phone (781) 756-2000

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.

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": "1328572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1699047605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 LOUISIANA BLVD NE",
            "address_2": "SUITE #401",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871107022",
            "telephone_number": "505-260-4300",
            "fax_number": "505-260-4371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 WASHINGTON ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024621607",
            "telephone_number": "617-243-6298",
            "fax_number": "505-841-1956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGRAM",
        "first_name": "KATHERINE",
        "middle_name": "BROOKS",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-07",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "RN0000169920",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NM",
            "license": "CRNA -",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.