Individual provider Active NPI

Steven Drake, CRNA

  • Certified Registered Nurse Anesthetist
  • Lexington, NE
National Provider Identifier
1801818299
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
100311 Issued in NE
Practice address
1600 W 13TH St
Lexington, NE 68850-1196
Phone
(308) 324-5651
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 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 10002852 OR
Certified Registered Nurse Anesthetist 367500000X 100311 NE Primary

Addresses

Primary practice location

1600 W 13TH St
Lexington, NE 68850-1196

Mailing address

PO Box 633
Lexington, NE 68850-0633
Phone (402) 395-1666

Other practice location 1

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-7641

Other identifiers 1

IdentifierTypeStateIssuer
38001OtherNEBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20080610000502 NE Practitioner - Certified Registered Nurse Anesthetist (Crna) 4082784541 Reassigns benefits to 1 organization
I20140820001045 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 4082784541 Reassigns benefits to 1 organization
I20151204000405 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 4082784541 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
100311NEMDCertified Registered Nurse Anesthetist
10002852ORMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Associates of Central Kansas, P.a. CurrentSince Jul 1, 2019 Accepting new patients
CPR Anesthesia, Inc Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2017 Accepting new patients
Novamed Surgery Center of Denver LLC Past Accepting new patients
CHI Health Clinic Physician Enterprise-Anesthesia LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesthesia Services of Nebraska, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Novamed Surgery Center of Colorado Springs, LLC Past Accepting new patients

Locations

3000 S Jamaica Ct
Ste 140
Aurora, CO 80014
Phone 3037553201 ext. 14

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

200 S 5th St
Ste A
Salina, KS 67401
Phone (785) 827-2238

Organizations & group practices 7

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1801818299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 633",
            "city": "LEXINGTON",
            "state": "NE",
            "postal_code": "688500633",
            "telephone_number": "402-395-1666",
            "fax_number": "402-395-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W 13TH ST",
            "city": "LEXINGTON",
            "state": "NE",
            "postal_code": "688501196",
            "telephone_number": "308-324-5651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3181 SW Sam Jackson Park Rd",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972393011",
            "country_code": "US",
            "telephone_number": "503-494-7641",
            "fax_number": "503-494-4661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "STEVEN",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OR",
            "license": "10002852",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NE",
            "license": "100311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "38001",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.