Individual provider Active NPI

Christopher Allen Rogers, CRNA

  • Certified Registered Nurse Anesthetist
  • Midwest City, OK
National Provider Identifier
1780148486
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
200612 Issued in OK
Practice address
2825 Parklawn Dr
Midwest City, OK 73110-4201
Phone
(405) 610-4411
NPI assigned
Jan 27, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 957246 TX
Registered Nurse 163W00000X R0108642 OK
Certified Registered Nurse Anesthetist 367500000X 200612 OK Primary

Addresses

Primary practice location

2825 Parklawn Dr
Midwest City, OK 73110-4201

Mailing address

3305 Rock Creek Rd
Edmond, OK 73013-6825
Phone (405) 305-7595

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210329002227 OK Practitioner - Certified Registered Nurse Anesthetist (Crna) 4587071048 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deaconess Anesthesia Services, LLCGroup PAC ID 0042587842, 21 clinicians
Portland Anesthesia Services LLCGroup PAC ID 8224512512, 21 clinicians

Practice addresses (Care Compare)

5501 N Portland Ave
Oklahoma City, OK 73112-2074
Phone (405) 604-6000

Hospital & facility affiliations

  • Integris Baptist Medical Center, Inc Hospital, Oklahoma City, OK, CCN 370028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R0108642OKMDRegistered Nurse
957246TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Anesthesia Services LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2023 Accepting new patients

Locations

5501 N Portland Ave
Oklahoma City, OK 73112
Phone (405) 604-6000

Organizations & group practices 2

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 4

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": "1548547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1780148486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3305 ROCK CREEK RD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730136825",
            "telephone_number": "405-305-7595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 PARKLAWN DR",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731104201",
            "telephone_number": "405-610-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "CHRISTOPHER",
        "middle_name": "ALLEN",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-27",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "957246",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "R0108642",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "200612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midwest City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; 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.