Active NPI
Kirk E Lott, CRNA
- Certified Registered Nurse Anesthetist
- Susanville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 3947
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 67157068 | Medicaid | CO | |
| NM006947 | Other | NM | BCBS |
| P00124198 | Other | NM | RR MEDICARE |
| 201045802 | Other | NM | PRESBYTERIAN HP |
| 847402 | Medicaid | AZ | |
| 63136881 | Medicaid | NM | |
| 10008783 | Other | NM | LOVELACE HP |
| T0043 | Medicaid | UT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, NV
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 PCLifelinc Anesthesia Nevada PC
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
- Banner Churchill Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 84576 | TX | MD | Mental Health Counselor |
| R50620 | NM | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastroenterology Consultants, LTD | Current | Accepting new patients | |
| Lifelinc Anesthesia VI PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Collins Carson City Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Western Anesthesia Provider Group-Scherr, P.C. | Current | Accepting new patients | |
| Lifelinc Anesthesia Nevada, P.C. | Nurse Anesthetist, Certified Registered | Current | 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 | Past | 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.
-
- Anesthesiology Physician
- Fallon, NV
- NPI 1851950463
Nurse Anesthetist, Certified Registered, NV
-
- Certified Registered Nurse Anesthetist
- Watsonville, CA
- NPI 1487221628
CA, Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Carson City, NV
- NPI 1285330423
Nurse Anesthetist, Certified Registered, NV
-
- Critical Access Hospital
- Fallon, NV
- NPI 1265811251
-
- Anesthesiology Physician
- Farmington, NM
- NPI 1093758831
Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- El Paso, TX
- NPI 1679588396
-
- Pediatrics Physician
- Farmington, NM
- NPI 1093800534
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.