Individual provider Active NPI

Dawn Denise Fangrow, CRNA

  • Certified Registered Nurse Anesthetist
  • Lone Tree, CO
National Provider Identifier
1750675476
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
C-APN.0101171-C-CRNA Issued in CO
Practice address
10103 Ridgegate Pkwy Ste 312
Lone Tree, CO 80124-5525
Phone
(303) 788-8888
Fax
(866) 456-4594
NPI assigned
May 31, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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 C-APN.0101171-C-CRNA CO Primary
Certified Registered Nurse Anesthetist 367500000X 2011016048 MO

Addresses

Primary practice location

10103 Ridgegate Pkwy Ste 312
Lone Tree, CO 80124-5525

Mailing address

10103 Ridgegate Pkwy Ste 312
Lone Tree, CO 80124-5525
Phone (303) 788-8888

Other practice location 1

8717 W 110th St
suite 600
Overland Park, KS 66210-2144
Phone (913) 428-2910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS, CO3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20110816000285 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 5597934125 Reassigns benefits to 2 organizations
I20141231000667 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 5597934125 Reassigns benefits to 1 organization
I20231115002733 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 5597934125 Reassigns benefits to 1 organization

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

Practice addresses (Care Compare)

3911 Ambrosia St
Suite 201
Castle Rock, CO 80109-3888
Phone (303) 788-8888

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C-APN.0101171-C-CRNACOMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
South Denver Gastroenterology, PC Current Accepting new patients
Northstar Anesthesia of Missouri, LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2020 Accepting new patients
Anesthesia Associates of Kansas City PA CurrentSince Jul 5, 2011 Accepting new patients
South Denver Gastroenterology, PC CurrentSince Nov 27, 2023 Accepting new patients
South Denver Gastroenterology, PC Nurse Anesthetist, Certified Registered CurrentSince Nov 27, 2023 Accepting new patients

Locations

3911 Ambrosia St
Ste 201
Castle Rock, CO 80109
Phone (303) 788-8888

499 E Hampden Ave
Ste 420
Englewood, CO 80113
Phone (303) 788-8888

10103 Ridgegate Pkwy
Ste 312
Lone Tree, CO 80124
Phone (303) 788-8888

10103 Ridgegate Pkwy
Ste 312A
Lone Tree, CO 80124
Phone (303) 788-8888

8717 W 110th St
Ste 600
Overland Park, KS 66210
Phone (913) 428-2910

10730 Nall Ave
Ste 100
Overland Park, KS 66211
Phone (913) 428-9000

203 W Road Mize Rd
Ste 218
Blue Springs, MO 64014
Phone (816) 874-4181

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360

Interoperability endpoints

  • Direct secure messaging: dawn.fangrow.1@3461.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1306800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1750675476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10103 RIDGEGATE PKWY STE 312",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245525",
            "telephone_number": "303-788-8888",
            "fax_number": "866-456-4594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10103 RIDGEGATE PKWY STE 312",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245525",
            "telephone_number": "303-788-8888",
            "fax_number": "866-456-4594"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8717 W 110th St",
            "address_2": "suite 600",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662102144",
            "country_code": "US",
            "telephone_number": "913-428-2910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FANGROW",
        "first_name": "DAWN",
        "middle_name": "DENISE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-31",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CO",
            "license": "C-APN.0101171-C-CRNA",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "2011016048",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lone Tree, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.