Individual provider Active NPI

Preston N King, DNP, CRNA.

  • Certified Registered Nurse Anesthetist
  • Roswell, NM
National Provider Identifier
1871160580
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
64064 Issued in NM
Practice address
117 E 19TH St
Roswell, NM 88201-5151
Phone
(575) 627-7000
NPI assigned
Jun 10, 2021
Last updated
Feb 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 64064 NM Primary
Anesthesiology Physician 207L00000X 64064 NM
Pediatric Anesthesiology Physician 207LP3000X 64064 NM

Addresses

Primary practice location

117 E 19TH St
Roswell, NM 88201-5151

Mailing address

514 Americas Way
PMB # 23255
Box Elder, SD 57719-7600
Phone (573) 429-1313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, IN, MT, ND, OR5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20211202000086 NM Practitioner - Certified Registered Nurse Anesthetist (Crna) 6800286097 Reassigns benefits to 3 organizations
I20241008000158 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 6800286097 Reassigns benefits to 2 organizations
I20250610001271 MT Practitioner - Certified Registered Nurse Anesthetist (Crna) 6800286097 Reassigns benefits to 2 organizations
I20250624003466 ND Practitioner - Certified Registered Nurse Anesthetist (Crna) 6800286097 Reassigns benefits to 2 organizations
I20251002004601 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 6800286097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
University of Tennessee, HSC, College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Netherlands Anesthesia, LLCGroup PAC ID 8123433588, 41 clinicians
Anesthesia Associates Northwest LLCGroup PAC ID 7618908484, 80 clinicians

Practice addresses (Care Compare)

104 Legion Dr
Las Vegas, NM 87701-4804
Phone (505) 426-3500

3355 Riverbend Dr
Suite 510
Springfield, OR 97477-8800
Phone (541) 868-9555

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
64064NMMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Roswell Infusions LLC Multi-Specialty CurrentSince Jan 1, 2023 Accepting new patients
Mercy Hospital of Devils Lake CurrentSince Jun 20, 2025 Accepting new patients
Main Street Anesthesia of New Mexico, LLC Multi-Specialty CurrentSince Aug 25, 2021 Accepting new patients
Sidney Health Center Current Accepting new patients
Sidney Health Center Multi-Specialty Current Accepting new patients
Cameron Memorial Community Hospital, Inc. CurrentSince Oct 1, 2024 Accepting new patients
Sidney Health Center CurrentSince Jun 1, 2025 Accepting new patients
Anesthesia Associates Northwest LLC Multi-Specialty CurrentSince Aug 25, 2025 Accepting new patients
Sidney Health Center CurrentSince Jun 1, 2025 Accepting new patients
Mercy Hospital of Devils Lake Current Accepting new patients
Australia Anesthesia Management LLC Multi-Specialty CurrentSince Jan 16, 2025 Accepting new patients
Cameron Memorial Community Hospital, Inc Multi-Specialty CurrentSince Oct 1, 2024 Accepting new patients
Mercy Hospital of Devils Lake Multi-Specialty CurrentSince Jun 20, 2025 Accepting new patients

Locations

3290 Solutions Ctr
Chicago, IL 60677

306 E Maumee St
Angola, IN 46703
Phone (260) 667-5335

416 E Maumee St
Angola, IN 46703
Phone (260) 665-2141

1605 Winsted Dr
Goshen, IN 46526
Phone (574) 364-2970

200 High Park Ave
Goshen, IN 46526
Phone (219) 533-2141

214 14th Ave SW
Sidney, MT 59270
Phone (406) 488-2100

216 14th Ave SW
Sidney, MT 59270
Phone (406) 488-2100

1031 7th St NE
Devils Lake, ND 58301
Phone (701) 662-2131

117 E 19th St
Roswell, NM 88201
Phone (505) 727-2000

313 W Country Club Rd
Ste 9
Roswell, NM 88201
Phone (575) 347-1883

120 NW 14th Ave
Ste 200
Portland, OR 97209
Phone (503) 771-1883

3355 Riverbend Dr
#510
Springfield, OR 97477
Phone (541) 868-9555

Organizations & group practices 14

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.

View all 14

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": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1871160580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 AMERICAS WAY",
            "address_2": "PMB # 23255",
            "city": "BOX ELDER",
            "state": "SD",
            "postal_code": "577197600",
            "telephone_number": "573-429-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 E 19TH ST",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015151",
            "telephone_number": "575-627-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "PRESTON",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "DNP, CRNA.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-10",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NM",
            "license": "64064",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NM",
            "license": "64064",
            "primary": false
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "NM",
            "license": "64064",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; 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.