Active NPI
Sharm R Stanger, CRNA
- Certified Registered Nurse Anesthetist
- Boise, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 256594
- Practice address
- 111 W State St
Boise, ID 83702-0001 - Phone
- (208) 336-0895
- Fax
- (208) 338-1796
- NPI assigned
- Apr 24, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R1664474 | MN | |
| Certified Registered Nurse Anesthetist | 367500000X | 256594 | AZ | Primary |
Addresses
Primary practice location
111 W State St
Boise, ID 83702-0001
Mailing address
111 W State St
Boise, ID 83702-6127
Phone (208) 336-0895
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00617237 | Other | MN | MEDICARE, RAILROAD |
| 389105000 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 86.47 of 100
- Quality
- 78.27
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.62
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 256594 | AZ | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Partners & Management LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Mayo Clinic Arizona | Current | Accepting new patients | |
| Mayo Clinic Arizona | Current | Accepting new patients | |
| Grand Canyon Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
1020 N San Francisco St
Ste 100
Flagstaff, AZ 86001
Phone (928) 774-2300
18699 N 67th Ave
Ste 140
Glendale, AZ 85308
Phone (623) 376-8600
103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200
1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000
5777 E Mayo Blvd
Phoenix, AZ 85054
Phone (480) 342-1800
3900 E Camelback Rd
Ste 190
Phoenix, AZ 85018
Phone (888) 724-6236
4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872
2345 E Thomas Rd
Ste 400
Phoenix, AZ 85016
Phone (602) 343-2900
3110 Clearwater Dr
Prescott, AZ 86305
Phone (623) 241-6185
13400 E Shea Blvd
Scottsdale, AZ 85259
1704 W Anklam Rd
Ste 108
Tucson, AZ 85745
Phone (623) 241-6185
200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850
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 and National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Brighton, MI
- NPI 1336530997
AZ, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Scottsdale, AZ
- NPI 1356822902
Nurse Anesthetist, Certified Registered
-
- Multi-Specialty Clinic/Center
- Scottsdale, AZ
- NPI 1558332494
-
- Durable Medical Equipment & Medical Supplies
- Phoenix, AZ
- NPI 1699520049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619481600000",
"number": "1992923718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 W STATE ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837026127",
"telephone_number": "208-336-0895",
"fax_number": "208-338-1796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 W STATE ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837020001",
"telephone_number": "208-336-0895",
"fax_number": "208-338-1796"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANGER",
"first_name": "SHARM",
"middle_name": "R",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-24",
"last_updated": "2021-04-27",
"certification_date": "2021-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "R1664474",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AZ",
"license": "256594",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE, RAILROAD",
"identifier": "P00617237",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "389105000",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.