Active NPI
Rebecca Botch, CRNA
- Certified Registered Nurse Anesthetist
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- CRNA000535
- Practice address
- 9127 W Russell Rd Ste 110
Las Vegas, NV 89148-1253 - Phone
- (702) 878-0070
- Fax
- (702) 209-2064
- NPI assigned
- Mar 2, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | CRNA000535 | NV | Primary |
Addresses
Primary practice location
9127 W Russell Rd Ste 110
Las Vegas, NV 89148-1253
Mailing address
9127 W Russell Rd Ste 110
Las Vegas, NV 89148-1253
Phone (702) 878-0070
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180406000769 | NV | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 6305109240 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fielden,Hanson,Isaacs,Miyada,Robison,Yeh LTD
Practice addresses (Care Compare)
9127 W Russell Rd
Suite 110
Las Vegas, NV 89148-1253
Phone (702) 878-0700
Hospital & facility affiliations
- Saint Rose Dominican Hospitals - Siena Campus
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.25 of 100
- Quality
- 74.41
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CRNA000535 | NV | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fielden Hanson Isaacs Miyada Robison Yeh LTD | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Arizona Anesthesia Consultants, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Summit Anesthesia Consultants, Inc | Past | Accepting new patients |
Locations
9127 W Russell Rd
Ste 110
Las Vegas, NV 89148
Phone (702) 209-2042
Organizations & group practices 3
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
- Las Vegas, NV
- NPI 1699710749
Nurse Anesthetist, Certified Registered, NV
-
- Anesthesiology Physician
- Glendale, AZ
- NPI 1740402940
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Las Vegas, NV
- NPI 1285601930
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": "1519948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521417600000",
"number": "1982106241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9127 W RUSSELL RD STE 110",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891481253",
"telephone_number": "702-878-0070",
"fax_number": "702-209-2064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9127 W RUSSELL RD STE 110",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891481253",
"telephone_number": "702-878-0070",
"fax_number": "702-209-2064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOTCH",
"first_name": "REBECCA",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-02",
"last_updated": "2018-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NV",
"license": "CRNA000535",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2018; 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.