Individual provider Active NPI

Renee Marie Simpson, CRNA

  • Certified Registered Nurse Anesthetist
  • Colton, CA
National Provider Identifier
1780114728
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
95000724 Issued in CA
Practice address
400 N Pepper Ave
Colton, CA 92324-1801
Phone
(909) 580-1000
NPI assigned
Jun 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 95000724 CA Primary

Addresses

Primary practice location

400 N Pepper Ave
Colton, CA 92324-1801

Mailing address

16 Garner Dr
Novato, CA 94947-4428
Phone (209) 712-2731

Other names 1

  • Renee Marie Thatcher Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170801001171 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1052682697 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inland Empire Anesthesia Medical Group, IncGroup PAC ID 1052310331, 38 clinicians
Samantha Polikowski Anesthesia IncGroup PAC ID 1951742543, 36 clinicians

Practice addresses (Care Compare)

400 N Pepper Ave
Colton, CA 92324-1801
Phone (909) 580-2440

8705 Complex Dr
Suite 202
San Diego, CA 92123-1401
Phone (858) 302-2502

Hospital & facility affiliations

  • Arrowhead Regional Medical Center Hospital, Colton, CA, CCN 050245

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95000724CAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Samantha Polikowski Anesthesia Inc Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2025 Accepting new patients
Lgibson Anesthesia Inc Nurse Anesthetist, Certified Registered CurrentSince May 1, 2023 Accepting new patients
Inland Empire Anesthesia Medical Group, Inc CurrentSince Jul 3, 2017 Accepting new patients
Liberty Anesthesia Consultants LLC CurrentSince Feb 1, 2023 Accepting new patients
Concierge Anesthesia CurrentSince Jan 1, 2025 Accepting new patients

Locations

835 Third Ave
Ste A
Chula Vista, CA 91911
Phone (619) 425-7755

400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1800

400 N Pepper Ave
Fl 2
Colton, CA 92324
Phone (909) 580-2440

488 E Valley Pkwy
Ste 100
Escondido, CA 92025
Phone (760) 546-4386

5 Holland
Ste 101
Irvine, CA 92618
Phone (949) 588-2199

29300 Portola Pkwy
Ste A
Lake Forest, CA 92630
Phone (949) 305-3913

25405 Hancock Ave
Ste 103
Murrieta, CA 92562
Phone (909) 698-4670

25485 Medical Center Dr
Ste 106
Murrieta, CA 92562
Phone (585) 755-0523

3903 Waring Rd
Oceanside, CA 92056
Phone (760) 724-3293

9674 Archibald Ave
Ste 125
Rch Cucamonga, CA 91730
Phone (909) 296-8930

3939 3rd Ave
San Diego, CA 92103
Phone (619) 296-8525

3939 Ruffin Rd
San Diego, CA 92123
Phone (619) 299-9530

8705 Complex Dr
Ste 202
San Diego, CA 92123
Phone (858) 302-2502

816 E Enos Dr
Ste B
Santa Maria, CA 93454
Phone (805) 347-7813

4472 Broad St
Ste 150
Sn Luis Obisp, CA 93401
Phone (805) 364-8450

41900 Winchester Rd
Ste 102
Temecula, CA 92590
Phone (951) 461-6502

3180 Willow Ln
Ste 118
Thousand Oaks, CA 91361
Phone (805) 766-6319

696 Hampshire Rd
Ste 100
Westlake Vlg, CA 91361
Phone (805) 413-7920

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.

Hospital & facility affiliations 1

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": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1780114728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 GARNER DR",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949474428",
            "telephone_number": "209-712-2731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N PEPPER AVE",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923241801",
            "telephone_number": "909-580-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "RENEE",
        "middle_name": "MARIE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-13",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "95000724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "THATCHER",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Colton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; 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.