Sara D. Theoharis, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

100659 Issued in NE

Practice address

715 N Saint Joseph Ave
Hastings, NE 68901-4451

Phone

(402) 463-9841

Fax

(402) 463-9846

NPI assigned

Aug 9, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NE, NC2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Mayo Medical School, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kearney Anesthesia Associates PCGroup PAC ID 9335132141, 18 clinicians

The Mary Lanning Memorial Hospital AssociationGroup PAC ID 4587575550, 129 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• CHI Health Good Samaritan Hospital, Kearney, NE, CCN 280009
• Mary Lanning Healthcare Hospital, Hastings, NE, CCN 280032

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Kearney Anesthesia Associates PC

  • Certified Registered Nurse Anesthetist
  • Kearney, NE
  • NPI 1578593752

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• The Mary Lanning Memorial Hospital Association

  • Family Medicine Physician
  • Hastings, NE
  • NPI 1356656417
  Medicare reassignment Care Compare group NPD
• Associated Anesthesiologists PC

  • Anesthesiology Physician
  • Lincoln, NE
  • NPI 1972674604
  Medicare reassignment NPD
• Lexington Regional Health Center

  • Emergency Medicine Physician
  • Lexington, NE
  • NPI 1316016165

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Lexington Regional Health Center

  • Critical Access Hospital
  • Lexington, NE
  • NPI 1467417352
  Medicare reassignment NPD
• Unmc Physicians

  • Multi-Specialty Clinic/Center
  • Omaha, NE
  • NPI 1417912114
  Medicare reassignment NPD
• American Anesthesiology of North Carolina, PLLC

  • Certified Registered Nurse Anesthetist
  • Burlington, NC
  • NPI 1053677195

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Anesthesia Group of Grand Island PC

  • Pain Medicine (Anesthesiology) Physician
  • Grand Island, NE
  • NPI 1346216793
  Medicare reassignment
• Lexington Regional Health Center

  • Rural Health Clinic/Center
  • Lexington, NE
  • NPI 1144888579
  NPD
• The Mary Lanning Memorial Hospital Association

  • Anatomic Pathology & Clinical Pathology Physician
  • Hastings, NE
  • NPI 1760530216
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Good Samaritan Hospital

  • Psychiatric Hospital Unit
  • Kearney, NE
  • NPI 1114942869
  Care Compare affiliation
• Good Samaritan Hospital

  • General Acute Care Hospital
  • Kearney, NE
  • NPI 1336184019
  Care Compare affiliation
• The Mary Lanning Memorial Hospital Association

  • Clinical Medical Laboratory
  • Hastings, NE
  • NPI 1205442258

  Hospital

  Care Compare affiliation
• The Mary Lanning Memorial Hospital Association

  • Rural Acute Care Hospital
  • Hastings, NE
  • NPI 1831203488
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424044800000",
    "number": "1922009273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 W 5TH ST",
            "address_2": "STE 101",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689017551",
            "telephone_number": "402-463-9841",
            "fax_number": "402-463-9846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 N SAINT JOSEPH AVE",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689014451",
            "telephone_number": "402-463-9841",
            "fax_number": "402-463-9846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEOHARIS",
        "first_name": "SARA",
        "middle_name": "D.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2015-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NE",
            "license": "100659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NE",
            "identifier": "08653",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Mary Lanning Memorial Hospital Association
• The Mary Lanning Memorial Hospital Association
• The Mary Lanning Memorial Hospital Association
• The Mary Lanning Memorial Hospital Association
• The Mary Lanning Memorial Hospital Association
• Kaitlin Thiebauth
• Courtney A Thiel
• Miranda L Thiel
• Amanda M Thom, APRN
• Adam Thompson, PA-C

• Certified Registered Nurse Anesthetist in Hastings, NE
• Providers in Hastings, NE by specialty
• Certified Registered Nurse Anesthetist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2015; 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.