Individual provider Active NPI

Katelynn Elizabeth Badger, CRNA

  • Certified Registered Nurse Anesthetist
  • Bar Harbor, ME
National Provider Identifier
1710508478
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RNA223085 Issued in ME
Practice address
10 Wayman LN
Bar Harbor, ME 04609-1625
Phone
(207) 288-5081
Fax
(207) 288-8620
NPI assigned
May 4, 2020
Reactivated
Jan 12, 2023
Last updated
May 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 202105376CRNA-P OR
Certified Registered Nurse Anesthetist 367500000X 126284 CT
Certified Registered Nurse Anesthetist 367500000X 083873-23 NH
Certified Registered Nurse Anesthetist 367500000X RNA223085 ME Primary

Addresses

Primary practice location

10 Wayman LN
Bar Harbor, ME 04609-1625

Mailing address

PO Box 8
Bar Harbor, ME 04609-0008
Phone (207) 288-5081

Other practice location 1

80 Seymour St
Hartford, CT 06102-8000
Phone (860) 545-5000

Other practice location 2

6400 SE Lake Rd Ste 300
Portland, OR 97222-2129
Phone (503) 594-1774

Other practice location 3

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-7641

Other practice location 4

3073 White Mountain Hwy
North Conway, NH 03860-7101
Phone (603) 356-5461

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NH, NV, ME, VT, AZ6 enrollments

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20201112003159 CT Practitioner - Certified Registered Nurse Anesthetist (Crna) 0648680058 Reassigns benefits to 1 organization
I20201216002588 NH Practitioner - Certified Registered Nurse Anesthetist (Crna) 0648680058 Reassigns benefits to 14 organizations
I20221109002446 NV Practitioner - Certified Registered Nurse Anesthetist (Crna) 0648680058 Reassigns benefits to 1 organization
I20230329002250 ME Practitioner - Certified Registered Nurse Anesthetist (Crna) 0648680058
I20241119001277 VT Practitioner - Certified Registered Nurse Anesthetist (Crna) 0648680058 Reassigns benefits to 2 organizations
I20260505001298 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 0648680058 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
Ias Illinois PCGroup PAC ID 9638530991, 79 clinicians
Weeks Medical CenterGroup PAC ID 2769461284, 71 clinicians
Antigua Anesthesia Management, LLCGroup PAC ID 3870908676, 39 clinicians
Androscoggin Valley Hospital IncGroup PAC ID 2365350725, shared by 3 NPIs, 61 clinicians

Practice addresses (Care Compare)

17 Belmont Ave
Brattleboro, VT 05301-3498
Phone (802) 257-8834

173 Middle St
Lancaster, NH 03584-3508
Phone (603) 788-4911

2200 E Show Low Lake Rd
Show Low, AZ 85901-7831
Phone (928) 537-4375

59 Page Hill Rd
Berlin, NH 03570-3531
Phone (603) 752-2200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
126284CTMDCertified Registered Nurse Anesthetist
202105376CRNA-PORMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Collaborative Anesthesia Partners Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2024 Accepting new patients
Carson Tahoe Physician Hospital Organization, LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 3, 2022 Accepting new patients
Amoskeag Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 16, 2024 Accepting new patients
Androscoggin Valley Hospital, Inc. CurrentSince Jan 19, 2023 Accepting new patients
Ias Illinois PC CurrentSince Jan 1, 2026 Accepting new patients
Cottage Hospital CurrentSince Jan 1, 2026 Accepting new patients
Androscoggin Valley Hospital, Inc. CurrentSince Jan 19, 2023 Accepting new patients
Weeks Medical Center Current Accepting new patients
Cottage Hospital CurrentSince Jan 5, 2023 Accepting new patients
Weeks Medical Center CurrentSince Dec 12, 2022 Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 8, 2023 Accepting new patients
Weeks Medical Center CurrentSince Dec 12, 2022 Accepting new patients
Androscoggin Valley Hospital Inc CurrentSince Sep 5, 2024 Accepting new patients
Memorial Hospital CurrentSince Apr 12, 2023 Accepting new patients
Upper Connecticut Valley Hospital Association CurrentSince Dec 12, 2022 Accepting new patients
Memorial Hospital CurrentSince Apr 12, 2023 Accepting new patients
Mount Desert Island Hospital PastSince Jan 29, 2023 Accepting new patients
North American Partners in Anesthesia Connecticut PC Past Accepting new patients

Locations

400 10th St E
Waconia, MN 55387

59 Page Hill Rd
Berlin, NH 03570
Phone (603) 752-2200

7 Page Hill Rd
Berlin, NH 03570
Phone (603) 326-5827

243 Elm St
Claremont, NH 03743
Phone (603) 542-7771

181 Corliss Ln
Colebrook, NH 03576
Phone (603) 237-8652

580 Court St
Keene, NH 03431
Phone (603) 354-5454

173 Middle St
Lancaster, NH 03584
Phone (603) 788-4911

10 Alice Peck Day Dr
Lebanon, NH 03766
Phone (603) 448-7440

1 Elliot Way
Manchester, NH 03103
Phone (603) 663-2271

100 McGregor St
Manchester, NH 03102
Phone (603) 663-6931

3073 White Mountain Hwy
North Conway, NH 03860
Phone (603) 356-5472

240 S Main St
Wolfeboro, NH 03894
Phone (603) 515-2093

90 Swiftwater Rd
Woodsville, NH 03785
Phone (603) 747-9000

1600 Medical Pkwy
Carson City, NV 89703
Phone (775) 220-9149

17 Belmont Ave
Brattleboro, VT 05301
Phone (802) 257-8360

25 Ridgewood Rd
Springfield, VT 05156
Phone (780) 281-9593

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/b5eba017-85d4-4b6c-a2f0-9b2c7b0c38dd/

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 7

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": "1588550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1710508478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8",
            "city": "BAR HARBOR",
            "state": "ME",
            "postal_code": "046090008",
            "telephone_number": "207-288-5081",
            "fax_number": "207-288-8620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 WAYMAN LN",
            "city": "BAR HARBOR",
            "state": "ME",
            "postal_code": "046091625",
            "telephone_number": "207-288-5081",
            "fax_number": "207-288-8620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 Seymour St",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061028000",
            "country_code": "US",
            "telephone_number": "860-545-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6400 SE Lake Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972222129",
            "country_code": "US",
            "telephone_number": "503-594-1774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3181 SW Sam Jackson Park Rd",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972393011",
            "country_code": "US",
            "telephone_number": "503-494-7641",
            "fax_number": "503-494-8368",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3073 White Mountain Hwy",
            "address_purpose": "LOCATION",
            "city": "North Conway",
            "state": "NH",
            "postal_code": "038607101",
            "country_code": "US",
            "telephone_number": "603-356-5461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BADGER",
        "first_name": "KATELYNN",
        "middle_name": "ELIZABETH",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-04",
        "last_updated": "2023-05-03",
        "certification_date": "2023-04-28",
        "deactivation_date": "2023-01-04",
        "reactivation_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OR",
            "license": "202105376CRNA-P",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CT",
            "license": "126284",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NH",
            "license": "083873-23",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ME",
            "license": "RNA223085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bar Harbor, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; 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.