ADAM RUSSELL PENROSE CRNA
NPI 1215401948
Nurse Anesthetist, Certified Registered in Farmington, NM
About Adam Russell Penrose Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADAM RUSSELL PENROSE CRNA (NPI 1215401948) is an individual nurse anesthetist, certified registered in Farmington, New Mexico, licensed in New Mexico (66709) and active in the NPI registry since January 2019. He is affiliated with San Juan Regional Medical Center Inc and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Adam Russell Penrose Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Adam Penrose reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Farmington, NM 87401
- Reassigned Medicare billing, New Mexico enrollment
- 368 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
San Juan Regional Medical Center Inc
Acute Care Hospitals · Farmington, NMPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 87401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FARMINGTON, NM 87401
FARMINGTON, NM 87401
FARMINGTON, NM 87401
FARMINGTON, NM 87401
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Adam Penrose's NPI number?
The NPI number for Adam Penrose is 1215401948. It was assigned to this individual provider in the NPPES registry on January 16, 2019.
Where is Adam Penrose located?
Adam Penrose practices at 801 W Maple St, Farmington, NM 87401. The listed phone number is (505) 609-2000.
What is Adam Penrose's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Adam Penrose enrolled in Medicare?
Yes. Adam Penrose is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Adam Penrose's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Adam Penrose reassigns Medicare benefits to San Juan Regional Medical Center Inc (Farmington, NM). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Adam Penrose's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Adam Penrose affiliated with any hospitals?
According to CMS data, Adam Penrose is affiliated with San Juan Regional Medical Center Inc.
When was this NPI record last updated?
The NPPES record for Adam Penrose was last updated on November 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Adam Russell Penrose, CRNA · NPI 1215401948
Nurse Anesthetist, Certified Registered physician in Farmington, New Mexico. Individual provider, active in the CMS NPPES registry since January 16, 2019.
## Identity
- **NPI:** 1215401948 (Entity type: Individual)
- **Enumerated:** January 16, 2019
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 66709 (New Mexico)
- **Sole proprietor:** No
## Practice location
- **Address:** 801 W MAPLE ST, Farmington, NM 87401-5630
- **Phone:** (505) 609-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** San Juan Regional Medical Center Inc (NPI 1518932151, Farmington, NM), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** November 8, 2024
- **Other identifiers:** Other 123851 (VA)
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Source: [NPI Profile](https://npiprofile.com/npi/1215401948) · Data from the CMS NPPES public registry.