Adam Russell Penrose, CRNA
NPI 1215401948ActiveIndividual· Nurse Anesthetist, Certified Registered· Farmington, NM
Nurse Anesthetist, Certified Registered (CRNA) with San Juan Regional Medical Center, Inc., practicing in Farmington, New Mexico. Medicare paid $13,399 for services to 87 patients in 2024. Lists San Juan Regional Medical Center Inc as a hospital affiliation.
Overview
| NPI | 1215401948 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CRNA |
| Sole proprietor | No |
| NPI issued | Jan 16, 2019 |
| Last updated in NPPES | Nov 8, 2024 |
| Certified by provider | Nov 8, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | 66709 | NM |
| Nurse Anesthetist, Certified Registered | 367500000X | 0001251248 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Certified Registered Nurse Anesthetist (CRNA) (NM) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 87 |
|---|---|
| Services billed | 91 across 25 procedure codes |
| Paid by Medicare | $13,399 |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical group
- San Juan Regional Medical Center, Inc.Farmington, NM · 241 clinicians
Hospital affiliation
- San Juan Regional Medical Center IncFarmington, NM
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other nurse anesthetists in Farmington
- 1063414290
- 1174088280
- 1265983019
- 1669860441
- 1679107007
- 1780724419
- 1871086744
- 1871143792
- 1013689652
- 1093295578
- 1114379690
- 1487309415
All 35 nurse anesthetists in Farmington · All nurse anesthetists in New Mexico