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Deactivated NPI 1710132832 Deactivated / Inactive NPI Male Practitioner

Kristopher M. Brown , CRNA

Registered Nurse • Tacoma, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kristopher Brown has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 18, 2008
NPI Deactivation Date December 13, 2021
Total Practice Duration ~13 Years of Practice (2008 – 2021)

Professional Overview & Biography Verified Profile Summary

Kristopher Brown, CRNA was a registered Registered Nurse practicing in Tacoma, WA. Throughout an active medical career spanning 13 years, Kristopher Brown provided care at the practice location at 502 S M ST until profile deactivation on 2021-12-13.

Historical Medicare Part B clinical services included anesthesia for other repair of lower abdomen hernia (1 year or older), anesthesia for procedure in upper abdomen including use of an endoscope, anesthesia for lens surgery. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

502 S M St

Tacoma, WA 984053728

Telephone 2533898601
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Registered Nurse in Tacoma, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 3.0 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
403 Specialists

Practicing in Tacoma, WA (5817 Statewide)

Telehealth Adoption Rate
0.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
81.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
00830 Anesthesia for other repair of lower abdomen hernia (1 year or older)
23 23 $1346.09 $244.72
00790 Anesthesia for procedure in upper abdomen including use of an endoscope
13 13 $1744.62 $317.97

Medical Specialties & State Licenses

Registered Nurse Primary Specialty

NUCC Taxonomy Code: 163W00000X

State License SC 95462

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
NPI 1013279298

Doctor of Medicine (M.D.)

Dr. John Heffernan , MD

Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery

NPI 1093791121

Doctor of Medicine (M.D.)

Connie Jensen , CRNA

Nurse Anesthetist, Certified Registered

NPI 1104874908

Certified Registered Nurse Anesthetist

NPI 1124050117

Doctor of Medicine (M.D.)

Douglas Macleod

Ophthalmology

NPI 1174746481
NPI 1386729242

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
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NPI Profile Deactivated December 13, 2021

Record deactivated on December 13, 2021

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Updated Practice Location October 11, 2020

Registered at 2603 BRIDGEPORT WAY W STE K, UNIVERSITY PLACE, WA 984664724 (Tel: 2533537787)

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Updated Business Mailing Address October 11, 2020

Registered at 2603 BRIDGEPORT WAY W STE K, UNIVERSITY PLACE, WA 984664724 (Tel: 2533537787)

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Provider Name / Credentials Updated October 11, 2020

Recorded as KRISTOPHER BROWN, NP, CRNA

NPI Profile Active November 19, 2014

NPI status registered as active in NPPES database

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Updated Practice Location November 19, 2014

Registered at 502 S M ST, TACOMA, WA 984053728 (Tel: 2533898601)

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Updated Business Mailing Address November 19, 2014

Registered at 1949 CHARLES ST, DUPONT, WA 983277740 (Tel: 2533898601)

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Provider Name / Credentials Updated November 19, 2014

Recorded as KRISTOPHER BROWN, CRNA

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 19, 2014

Registered Nurse (License #95462 in SC)

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Initial NPI Registration & Enumeration November 18, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1710132832
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 18, 2008
Last Update: November 19, 2014
Deactivation Date: December 13, 2021

Mailing Address

1949 Charles St

Dupont, WA 983277740

Phone: 2533898601

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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