Individual provider Active NPI

Kirk E Lott, CRNA

  • Certified Registered Nurse Anesthetist
  • Susanville, CA
National Provider Identifier
1891768271
Registry record updated May 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3947 Issued in CA
Practice address
1800 Spring Ridge Dr
Susanville, CA 96130-6100
Phone
(530) 252-2000
Fax
(530) 252-2241
NPI assigned
Feb 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2014

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 R50620 NM
Certified Registered Nurse Anesthetist 367500000X 3947 CA Primary

Addresses

Primary practice location

1800 Spring Ridge Dr
Susanville, CA 96130-6100

Mailing address

1800 Spring Ridge Dr
Susanville, CA 96130-6100
Phone (530) 252-2000

Other identifiers 8

IdentifierTypeStateIssuer
67157068MedicaidCO
NM006947OtherNMBCBS
P00124198OtherNMRR MEDICARE
201045802OtherNMPRESBYTERIAN HP
847402MedicaidAZ
63136881MedicaidNM
10008783OtherNMLOVELACE HP
T0043MedicaidUT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101118000409 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 9739075086 Reassigns benefits to 1 organization
I20200128002062 NV Practitioner - Certified Registered Nurse Anesthetist (Crna) 9739075086 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2000
Medicare assignment
May accept Medicare assignment
Group practices
Western Anesthesia Provider Group-Scherr PCGroup PAC ID 6204160385, 9 clinicians
Lifelinc Anesthesia Nevada PCGroup PAC ID 8921431800, 5 clinicians

Practice addresses (Care Compare)

2001 Errecart Blvd
Elko, NV 89801-8333
Phone (775) 738-5151

801 E Williams Ave
Fallon, NV 89406-3052
Phone (775) 423-3151

Hospital & facility affiliations

  • Northeastern Nevada Regional Hospital Hospital, Elko, NV, CCN 290008
  • Banner Churchill Community Hospital Hospital, Fallon, NV, CCN 291313

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
84576TXMDMental Health Counselor
R50620NMMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Consultants, LTD CurrentSince Oct 1, 2021 Accepting new patients
Lifelinc Anesthesia VI PC Nurse Anesthetist, Certified Registered CurrentSince Oct 25, 2021 Accepting new patients
Collins Carson City Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 31, 2023 Accepting new patients
Western Anesthesia Provider Group-Scherr, P.C. CurrentSince Oct 1, 2025 Accepting new patients
Lifelinc Anesthesia Nevada, P.C. Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2020 Accepting new patients
San Juan Regional Medical Center Inc Past Accepting new patients
Banner Churchill Community Hospital Past Accepting new patients
Pan American General Hospital Past Accepting new patients
Four Corners Anesthesia, P.a. Nurse Anesthetist, Certified Registered PastSince Jul 1, 2009 Accepting new patients

Locations

75 Nielson St
Watsonville, CA 95076
Phone (831) 724-4741

1385 Vista Ln
Carson City, NV 89703
Phone (775) 329-4600

2001 Errecart Blvd
Elko, NV 89801
Phone (775) 738-5151

801 E Williams Ave
Ste 2209
Fallon, NV 89406
Phone (775) 423-3151

801 E Williams Ave
Fallon, NV 89406
Phone (775) 423-0310

880 Ryland St
Reno, NV 89502
Phone (775) 329-4600

10619 Professional Cir
Reno, NV 89521
Phone (775) 329-4600

Organizations & group practices 9

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 2

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": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400025600000",
    "number": "1891768271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 SPRING RIDGE DR",
            "city": "SUSANVILLE",
            "state": "CA",
            "postal_code": "961306100",
            "telephone_number": "530-252-2000",
            "fax_number": "530-252-2241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 SPRING RIDGE DR",
            "city": "SUSANVILLE",
            "state": "CA",
            "postal_code": "961306100",
            "telephone_number": "530-252-2000",
            "fax_number": "530-252-2241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOTT",
        "first_name": "KIRK",
        "middle_name": "E",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2014-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NM",
            "license": "R50620",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "3947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "67157068",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "NM006947",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00124198",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESBYTERIAN HP",
            "identifier": "201045802",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "847402",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "63136881",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOVELACE HP",
            "identifier": "10008783",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T0043",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Susanville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; 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.