Active NPI
Koko Camita Cantrell, CRNA
- Certified Registered Nurse Anesthetist
- Fort Carson, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 125811
- Practice address
- USA Meddac. Evans Army Community Hospital
Anesthesia Dept
Fort Carson, CO 80913-4604 - Phone
- (719) 526-7944
- NPI assigned
- Jan 26, 2006
- Last updated
- Jul 13, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 125811 | CO | Primary |
Addresses
Primary practice location
USA Meddac. Evans Army Community Hospital
Anesthesia Dept
Fort Carson, CO 80913-4604
Mailing address
250 Thames Dr
Colorado Springs, CO 80906-5951
Phone (719) 520-0874
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, OR
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
74 B Centennial Loop
Suite 100
Eugene, OR 97401-7919
Phone (541) 780-6654
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125811 | CO | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CPR Anesthesia, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Associates Northwest LLC | Current | Accepting new patients | |
| Novamed Surgery Center of Denver LLC | Past | Accepting new patients | |
| Novamed Surgery Center of Colorado Springs, LLC | Past | Accepting new patients |
Locations
715 N Weber St
Ste 100
Colorado Springs, CO 80903
Phone (719) 473-6115
401 Kendall Dr
Lamar, CO 81052
Phone (719) 336-4343
74B Centennial Loop
Ste 100
Eugene, OR 97401
Phone (541) 686-3791
120 NW 14th Ave
Ste 200
Portland, OR 97209
Phone (503) 771-1883
2435 NW Kline St
Roseburg, OR 97471
Phone (541) 672-2020
1330 Commercial St SE
Salem, OR 97302
Phone (503) 763-1973
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Milwaukie, OR
- NPI 1548281751
-
- Anesthesiology Physician
- Aurora, CO
- NPI 1326436353
Nurse Anesthetist, Certified Registered
-
dba Premier Surgery Center
- Ambulatory Surgical Clinic/Center
- Colorado Springs, CO
- NPI 1750386322
-
dba Cherry Hills Surgery Center
- Ambulatory Surgical Clinic/Center
- Englewood, CO
- NPI 1508862624
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1740250059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 THAMES DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809065951",
"telephone_number": "719-520-0874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "USA MEDDAC. EVANS ARMY COMMUNITY HOSPITAL",
"address_2": "ANESTHESIA DEPT",
"city": "FORT CARSON",
"state": "CO",
"postal_code": "809134604",
"telephone_number": "719-526-7944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANTRELL",
"first_name": "KOKO",
"middle_name": "CAMITA",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-26",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CO",
"license": "125811",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Carson, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.