Individual provider Active NPI

Sandra R Joll, CRNA

  • Certified Registered Nurse Anesthetist
  • Castle Rock, CO
National Provider Identifier
1780787655
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APN.0990524-CRNA Issued in CO
Practice address
3911 Ambrosia St Ste 201
Castle Rock, CO 80109-3888
Phone
(303) 788-8888
Fax
(844) 347-5158
NPI assigned
Sep 6, 2006
Last updated
May 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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 APN.0990524-CRNA CO Primary

Addresses

Primary practice location

3911 Ambrosia St Ste 201
Castle Rock, CO 80109-3888

Mailing address

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121101000473 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 8123152055 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1993
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
APN.0990524-CRNACOMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
South Denver Gastroenterology, PC CurrentSince Sep 9, 2022 Accepting new patients
CPR Anesthesia, Inc Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2020 Accepting new patients
South Denver Gastroenterology, PC Current Accepting new patients
South Denver Gastroenterology, PC Nurse Anesthetist, Certified Registered CurrentSince Sep 9, 2022 Accepting new patients
Park Meadows Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 4, 2019 Accepting new patients
North Pinellas Anesthesia Associates, PA Nurse Anesthetist, Certified Registered PastSince May 7, 2023 Accepting new patients
Morton Plant Mease Outpatient Anesthesiology PA Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesthesia Associates of Pinellas County Past Accepting new patients
Clearwater Pain Management Associates Past Accepting new patients
Novamed Surgery Center of Denver LLC Past Accepting new patients
Novamed Surgery Center of Colorado Springs, LLC Past Accepting new patients

Locations

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

715 N Weber St
Ste 100
Colorado Springs, CO 80903
Phone (719) 473-6115

10 Inverness Dr E
Ste 220
Englewood, CO 80112

499 E Hampden Ave
Ste 220
Englewood, CO 80113
Phone (303) 783-7658

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

8500 Park Meadows Dr
Ste 100
Lone Tree, CO 80124
Phone (303) 951-7510

Interoperability endpoints

  • Direct secure messaging: sandy.joll.1@3461.direct.athenahealth.com

Organizations & group practices 11

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": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1780787655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3911 AMBROSIA ST STE 201",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801093888",
            "telephone_number": "303-788-8888",
            "fax_number": "844-347-5158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3911 AMBROSIA ST STE 201",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801093888",
            "telephone_number": "303-788-8888",
            "fax_number": "844-347-5158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOLL",
        "first_name": "SANDRA",
        "middle_name": "R",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CO",
            "license": "APN.0990524-CRNA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.