Individual provider Active NPI

Holly A Evans-Brown, CRNA

  • Certified Registered Nurse Anesthetist
  • West Seneca, NY
National Provider Identifier
1942389614
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
422603-1 Issued in NY
Practice address
4185 Seneca St
Suite 11
West Seneca, NY 14224-3565
Phone
(716) 674-8189
Fax
(716) 712-0469
NPI assigned
Nov 3, 2006
Last updated
Feb 1, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 422603-1 NY Primary

Addresses

Primary practice location

4185 Seneca St
Suite 11
West Seneca, NY 14224-3565

Mailing address

4185 Seneca St
Suite 11
West Seneca, NY 14224-3565
Phone (716) 674-8189

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120202000578 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 2668639675 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Niagara Frontier Anesthesia Services LLPGroup PAC ID 8628963915, 17 clinicians

Practice addresses (Care Compare)

200 Ohio St
Medina, NY 14103-1063
Phone (716) 674-8189

224 E Main St
Springville, NY 14141-1443
Phone (716) 674-8189

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
422603-1NYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Niagara Frontier Anesthesia Services LLP Nurse Anesthetist, Certified Registered CurrentSince Jan 10, 2020 Accepting new patients
Brooks - TLC Hospital System, Inc. Past Accepting new patients
Southern Tier Anesthesiologists PC Past Accepting new patients

Locations

845 Route 5 and 20
Irving, NY 14081
Phone (716) 593-1100

200 Ohio St
Medina, NY 14103
Phone (585) 798-2000

400 N Main St
Warsaw, NY 14569
Phone (585) 786-1555

4185 Seneca St
Ste 11
West Seneca, NY 14224

Organizations & group practices 4

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.

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": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328054400000",
    "number": "1942389614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4185 SENECA ST",
            "address_2": "SUITE 11",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142243565",
            "telephone_number": "716-674-8189",
            "fax_number": "716-712-0469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4185 SENECA ST",
            "address_2": "SUITE 11",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142243565",
            "telephone_number": "716-674-8189",
            "fax_number": "716-712-0469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS-BROWN",
        "first_name": "HOLLY",
        "middle_name": "A",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2012-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "422603-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Seneca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; 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.