Kristin Ann Monnat Jackson, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN.0169297 Issued in CO

Practice address

1236 E Elizabeth St
Suite 1
Fort Collins, CO 80524-4000

Phone

(970) 224-2985

NPI assigned

Jul 12, 2011

Last updated

Mar 6, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Ms. Kristin Ann Monnat Former name

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Boulder Valley Gastroenterology Inc.

  dba Gastroenterology of the Rockies

  • Gastroenterology Physician
  • Lafayette, CO
  • NPI 1902832603
  Medicare reassignment NPD
• CPR Anesthesia, Inc

  • Anesthesiology Physician
  • Aurora, CO
  • NPI 1326436353

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Crna Anesthesia Associates LLC

  • Certified Registered Nurse Anesthetist
  • Greenwood Village, CO
  • NPI 1154979342

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Denver Eye Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Lakewood, CO
  • NPI 1457335077
  Medicare reassignment NPD
• Eye Center of Northern Colorado, P.C.

  • Ophthalmology Physician
  • Fort Collins, CO
  • NPI 1073559605
  Medicare reassignment NPD
• Metro Denver Pain Management PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Englewood, CO
  • NPI 1528365863
  Medicare reassignment NPD
• Northern Colorado Anesthesia Professionals PLLC

  • Anesthesiology Physician
  • Fort Collins, CO
  • NPI 1851389613
  Medicare reassignment NPD
• Premier Anesthesia of Colorado, Inc

  • Anesthesiology Physician
  • Denver, CO
  • NPI 1053438663
  Medicare reassignment NPD
• Boulder Valley Gastroenterology Inc.

  dba Gastroenterology of the Rockies

  • Gastroenterology Physician
  • Northglenn, CO
  • NPI 1043806276
  NPD
• Boulder Valley Gastroenterology Inc.

  dba Gastroenterology of the Rockies

  • Gastroenterology Physician
  • Lakewood, CO
  • NPI 1780270918
  NPD
• Dry Creek Surgery Center, LLC

  dba Surgery Center of Highlands Ranch

  • Ambulatory Surgical Clinic/Center
  • Highlands Ranch, CO
  • NPI 1770075467
  NPD
• Novamed Surgery Center of Colorado Springs, LLC

  dba Premier Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Colorado Springs, CO
  • NPI 1750386322
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583452800000",
    "number": "1740578707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1236 E ELIZABETH ST",
            "address_2": "SUITE 1",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244000",
            "telephone_number": "970-224-2985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1236 E ELIZABETH ST",
            "address_2": "SUITE 1",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244000",
            "telephone_number": "970-224-2985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "KRISTIN",
        "middle_name": "ANN MONNAT",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-12",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CO",
            "license": "RN.0169297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11154870",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137001400",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01316455",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "MONNAT",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Daniel Jackson, LMFT
• Diana Marie Jackson, FNP
• Emily R Jackson
• Jillian K Jackson, MA, RP
• Joseph L Jackson, DDS, MS
• Mark D Jackson, OD
• Matthew Wayne Jackson, M.D.
• Michelle Jackson, NNP
• Rebecca Rain Jackson, DO
• Reuben Jackson

• Certified Registered Nurse Anesthetist in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Certified Registered Nurse Anesthetist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.