Individual provider Active NPI

Richard Berry, CRNA

  • Certified Registered Nurse Anesthetist
  • Roswell, NM
National Provider Identifier
1992452460
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
68533 Issued in NM
Practice address
117 E 19TH St
Roswell, NM 88201-5151
Phone
(575) 627-7000
NPI assigned
Mar 4, 2022
Last updated
Nov 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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 68533 NM Primary

Addresses

Primary practice location

117 E 19TH St
Roswell, NM 88201-5151

Mailing address

3310 E Berrendo Rd
Roswell, NM 88201-9186
Phone (575) 607-8005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, CO, KS3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220823001238 NM Practitioner - Certified Registered Nurse Anesthetist (Crna) 9638552706 Reassigns benefits to 3 organizations
I20241115001461 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 9638552706 Reassigns benefits to 2 organizations
I20241202000212 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 9638552706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pueblo Anesthesia and Pain ServicesGroup PAC ID 0042301707, 4 clinicians
Main Street Anesthesia of New Mexico, LLCGroup PAC ID 3476807538, 228 clinicians

Practice addresses (Care Compare)

3917 W Rd
Pueblo Anesthesia and Pain Management
Los Alamos, NM 87544-2275
Phone (505) 662-4201

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
68533NMMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Otero County Hospital Association CurrentSince May 1, 2024 Accepting new patients
Main Street Anesthesia of New Mexico, LLC CurrentSince Jul 22, 2022 Accepting new patients
Durango Surgery Center LLC CurrentSince Dec 2, 2024 Accepting new patients
US Anesthesia Partners of Kansas PA Nurse Anesthetist, Certified Registered CurrentSince Nov 19, 2024 Accepting new patients
Pueblo Anesthesia & Pain Services Nurse Anesthetist, Certified Registered CurrentSince Jun 9, 2025 Accepting new patients
Otero County Hospital Association CurrentSince May 1, 2024 Accepting new patients
Animas Surgical Hospital, LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 2, 2024 Accepting new patients
Clinical Colleagues LLC Nurse Anesthetist, Certified Registered CurrentSince May 25, 2025 Accepting new patients

Locations

1266 Escalante Dr
Ste 101
Durango, CO 81303
Phone (248) 396-8109

575 Rivergate Ln
Durango, CO 81301
Phone (719) 648-5678

1000 Lincoln St
Fort Morgan, CO 80701
Phone (970) 542-3320

401 E Spruce St
Garden City, KS 67846
Phone (620) 272-2222

2511 N Westwood Blvd
Ste B
Poplar Bluff, MO 63901

2669 Scenic Dr
Alamogordo, NM 88310
Phone (505) 439-6100

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

3917 West Rd
Los Alamos, NM 87544
Phone (505) 661-9584

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

6128 S Lyncrest Ave
Sioux Falls, SD 57108
Phone (605) 334-1363

6330 S Western Ave
Ste 150
Sioux Falls, SD 57108

12222 Merit Dr
Ste 600
Dallas, TX 75251
Phone (972) 776-3185

Organizations & group practices 8

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": "1646352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1992452460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 E BERRENDO RD",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882019186",
            "telephone_number": "575-607-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 E 19TH ST",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015151",
            "telephone_number": "575-627-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "RICHARD",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-04",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NM",
            "license": "68533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.