Individual provider Active NPI

Robert Carl Sanders, CRNA

  • Certified Registered Nurse Anesthetist
  • Lebanon, NH
National Provider Identifier
1972671667
Registry record updated Jul 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
082928-23 Issued in NH
Practice address
10 Alice Peck Day Dr
Lebanon, NH 03766-2900
Phone
(603) 448-3121
NPI assigned
Dec 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X ARNP9395768 FL
Certified Registered Nurse Anesthetist 367500000X 2014042320 MO
Certified Registered Nurse Anesthetist 367500000X 102826 AK
Certified Registered Nurse Anesthetist 367500000X 082928-23 NH Primary

Addresses

Primary practice location

10 Alice Peck Day Dr
Lebanon, NH 03766-2900

Mailing address

45 Park Ave
Claremont, NH 03743-2440
Phone (602) 399-5230

Other practice location 1

105 Kramer Ave
Sitka, AK 99835-9538
Phone (907) 738-4222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, NH, IN3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20190930002819 NM Practitioner - Certified Registered Nurse Anesthetist (Crna) 6901938299 Reassigns benefits to 2 organizations
I20200803002075 NH Practitioner - Certified Registered Nurse Anesthetist (Crna) 6901938299 Reassigns benefits to 1 organization
I20251021000660 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 6901938299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
University of Utah School of Medicine, 2008
Medicare assignment
May accept Medicare assignment
Group practices
Clinical Colleagues IncGroup PAC ID 8729011333, 170 clinicians
Main Street Anesthesia of New Mexico, LLCGroup PAC ID 3476807538, 228 clinicians

Practice addresses (Care Compare)

1101 Michigan Ave
Loganport, IN 46947-1528
Phone (850) 497-6702

601 Dr Martin Luther King Jr Ave NE
Lovelace Medical Center
Albuquerque, NM 87102-3619
Phone (505) 727-8000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9395768FLMDCertified Registered Nurse Anesthetist
2014042320MOMDCertified Registered Nurse Anesthetist
082928-23NHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehoboth McKinley Christian Health Care Services, Inc CurrentSince Sep 22, 2020 Accepting new patients
Rehoboth McKinley Christian Health Care Services, Inc CurrentSince Sep 22, 2020 Accepting new patients
Clinical Colleagues Inc Nurse Anesthetist, Certified Registered CurrentSince Aug 14, 2025 Accepting new patients
Rehoboth McKinley Christian Health Care Services, Inc. Current Accepting new patients
Main Street Anesthesia of New Mexico, LLC CurrentSince Apr 1, 2021 Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2020 Accepting new patients

Locations

92 E McNab Rd
Pompano Beach, FL 33060

1260 E State Road 205
Columbia City, IN 46725
Phone (260) 248-9000

1101 Michigan Ave
Logansport, IN 46947
Phone (574) 753-1475

1701 E 23rd Ave
Hutchinson, KS 67502
Phone (620) 665-2117

10 Alice Peck Day Dr
Lebanon, NH 03766
Phone (603) 448-7440

601 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 727-8040

1901 Red Rock Dr
Gallup, NM 87301
Phone (505) 863-7000

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

Organizations & group practices 6

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 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": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594598400000",
    "number": "1972671667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 PARK AVE",
            "city": "CLAREMONT",
            "state": "NH",
            "postal_code": "037432440",
            "telephone_number": "602-399-5230",
            "fax_number": "602-399-5230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ALICE PECK DAY DR",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037662900",
            "telephone_number": "603-448-3121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Kramer Ave",
            "address_purpose": "LOCATION",
            "city": "Sitka",
            "state": "AK",
            "postal_code": "998359538",
            "country_code": "US",
            "telephone_number": "907-738-4222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "ROBERT",
        "middle_name": "CARL",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9395768",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "2014042320",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AK",
            "license": "102826",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NH",
            "license": "082928-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; 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.