Individual provider Active NPI

Susanna Bean West, CRNA

  • Certified Registered Nurse Anesthetist
  • Provo, UT
National Provider Identifier
1750368718
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
CRNA000363 Issued in NV
Practice address
320 River Park Dr Ste 125
Provo, UT 84604
Phone
(801) 437-4500
NPI assigned
Dec 29, 2005
Last updated
Dec 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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 10652098-8901 UT
Certified Registered Nurse Anesthetist 367500000X C.APN.0004131-C-CRNA CO
Certified Registered Nurse Anesthetist 367500000X 609788 TX
Certified Registered Nurse Anesthetist 367500000X CRNA000363 NV Primary

Addresses

Primary practice location

320 River Park Dr Ste 125
Provo, UT 84604

Mailing address

PO Box 1060
Springville, UT 84663-7060
Phone (214) 498-0233

Other identifiers 2

IdentifierTypeStateIssuer
164811502MedicaidTX
1750368718MedicaidNV

Other names 1

  • Susana Bean Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, UT, CO3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20110107000172 NV Practitioner - Certified Registered Nurse Anesthetist (Crna) 3476536988 Reassigns benefits to 2 organizations
I20210222001692 UT Practitioner - Certified Registered Nurse Anesthetist (Crna) 3476536988 Reassigns benefits to 2 organizations
I20240614001100 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 3476536988 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Collins Carson City Anesthesia LLCGroup PAC ID 5799141016, 9 clinicians
Riverwoods Anesthesia PLLCGroup PAC ID 0547217366, 6 clinicians

Practice addresses (Care Compare)

1385 Vista LN
Carson City, NV 89703-4643
Phone (775) 884-4567

320 River Park Dr
Suite 195
Provo, UT 84604-6104
Phone (801) 375-8064

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C.APN.0004131-C-CRNACOMDCertified Registered Nurse Anesthetist
10652098-8901UTMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Gastroenterology Associates CurrentSince May 8, 2024 Accepting new patients
Collins Carson City Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince May 17, 2023 Accepting new patients
Family Surgical Suite CurrentSince Jan 16, 2024 Accepting new patients
Family Surgical Suite CurrentSince Jan 16, 2024 Accepting new patients
Riverwoods Anesthesia PLLC CurrentSince Feb 1, 2021 Accepting new patients
Sheridan Healthcare of North Texas PA Past Accepting new patients
Nevada Anesthesia Professionals LLC Nurse Anesthetist, Certified Registered PastSince Oct 8, 2014 Accepting new patients
Surgical Center of Peak Endoscopy, LLC Past Accepting new patients
Northstar Anesthesia, PA Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

1615 Medical Center Pt
Colorado Springs, CO 80907
Phone (719) 635-7740

2920 N Cascade Ave
#P
Colorado Springs, CO 80907

2920 N Cascade Ave
Fl 1
Colorado Springs, CO 80907
Phone (719) 362-2300

2920 N Cascade Ave
Ste 300
Colorado Springs, CO 80907

1385 Vista Ln
Carson City, NV 89703
Phone (775) 329-4600

320 River Park Dr
Ste 125
Provo, UT 84604
Phone (801) 437-4500

320 River Park Dr
Ste 195
Provo, UT 84604
Phone (801) 375-8064

151 E 5600 S
Ste 100
Salt Lake City, UT 84107
Phone (801) 833-0449

151 E 5600 S
Ste 104
Salt Lake Cty, UT 84107
Phone (801) 495-1064

8822 S Redwood Rd
Ste C113
West Jordan, UT 84088
Phone (801) 285-7052

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1750368718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1060",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "846637060",
            "telephone_number": "214-498-0233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 RIVER PARK DR STE 125",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "84604",
            "telephone_number": "801-437-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "SUSANNA",
        "middle_name": "BEAN",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-29",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "UT",
            "license": "10652098-8901",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CO",
            "license": "C.APN.0004131-C-CRNA",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "609788",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NV",
            "license": "CRNA000363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164811502",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750368718",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSANA",
            "last_name": "BEAN",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Provo, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.