KATHRYN CLARK DEARBORN (CRNA) – Certified Registered Nurse Anesthetist, NPI 1255616629

KATHRYN CLARK DEARBORN (CRNA) is a healthcare provider. based in Fort collins, Colorado. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. CRA-100084 (CO). The NPI Number for KATHRYN CLARK DEARBORN (CRNA) is 1255616629

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
KATHRYN CLARK DEARBORN (CRNA)
NPI
1255616629
Phone
(970) 224-2985
Address
1236 E ELIZABETH ST
Enumeration Date
18 October 2011
Last Update Date
19 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5188914141
Graduation Year
2011 (15 years ago)
PAC ID
1456528421
Group Practice PAC ID
7719041102
Professional Enrollment ID
I20120113000437
Address ID
NY129835644SA2233X86XX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:14State licenses:2Digital endpointsOther names

801 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in CO

Provider Addresses for KATHRYN CLARK DEARBORN (CRNA)

  • 1236 E ELIZABETH ST

    SUITE 1

    FORT COLLINS, CO 805244000

    Phone: (970) 224-2985

    Fax: (970) 472-9381

    Type: Location

  • 2233 STATE ROUTE 86

    SARANAC LAKE, NY 129835644

    Phone: (581) 891-4141

    Fax: (404) 941-1282

    Type: Location

  • 1236 E Elizabeth St

    Suite 1

    Fort Collins, CO 805244000

    Phone: (970) 224-2985

    Fax: (970) 472-9381

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-01-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120113000437ICertified Registered Nurse Anesthetist (Crna)NYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00812Anesthesia for exam of colon using an endoscope2525$0
01402Anesthesia for procedure for total knee joint replacement1515$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1111$0
00811Anesthesia for other procedure on large bowel using an endoscope1111$0
View full utilization report →

Insurance plans in this area (ZIP 80524)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7719041102View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)PA
A N E S T H E S I O L O G YNY
Certified Registered Nurse Anesthetist (Crna)UT
A N E S T H E S I O L O G YVA
-VT
Certified Registered Nurse Anesthetist (Crna)NY
Certified Registered Nurse Anesthetist (Crna)PA
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)NY
-NY

Reviews

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Frequently asked questions

What is the 10-digit NPI for KATHRYN CLARK DEARBORN (CRNA)?
KATHRYN CLARK DEARBORN (CRNA) — NPI 1255616629 — is the standard way to identify this listing.
Can I rely on KATHRYN CLARK DEARBORN (CRNA) being an active provider?
As of the registry snapshot, KATHRYN CLARK DEARBORN (CRNA) is marked active.
What is KATHRYN CLARK DEARBORN (CRNA)'s specialty?
The listing groups KATHRYN CLARK DEARBORN (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where is KATHRYN CLARK DEARBORN (CRNA) based?
KATHRYN CLARK DEARBORN (CRNA) is tied to Fort Collins, Colorado in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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