DOUGLAS ALLEN KOOYMAN CRNA
NPI 1891099024
Nurse Anesthetist, Certified Registered in Travis Afb, CA
About Douglas Allen Kooyman Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DOUGLAS ALLEN KOOYMAN CRNA (NPI 1891099024) is an individual nurse anesthetist, certified registered in Travis Afb, California, licensed in Ohio (COA12072) and active in the NPI registry since January 2011. He is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
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
Douglas Allen Kooyman 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 Reassignments
3Medicare enrollment records show Douglas Kooyman reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fairfield, CA 94534
- Reassigned Medicare billing, California enrollment
- 64 clinicians in this Medicare group
Fairfield, CA 94534
- Reassigned Medicare billing, California enrollment
- Also billed through NPI 1972877264 (California), NPI 1467825844 (California), NPI 1457593980 (California), NPI 1346615150 (California)
- 3,056 clinicians in this Medicare group
Napa, CA 94558
- Reassigned Medicare billing, California enrollment
- 9 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94535 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
TRAVIS AFB, CA 94535
TRAVIS AFB, CA 94535
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 Douglas Kooyman's NPI number?
The NPI number for Douglas Kooyman is 1891099024. It was assigned to this individual provider in the NPPES registry on January 3, 2011.
Where is Douglas Kooyman located?
Douglas Kooyman practices at 101 Bodin Cir, Travis Afb, CA 94535. The listed phone number is (707) 423-3000.
What is Douglas Kooyman's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Douglas Kooyman enrolled in Medicare?
Yes. Douglas Kooyman 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 organizations bill Medicare for Douglas Kooyman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Kooyman reassigns Medicare benefits to 3 organizations: Green Anesthesia (Fairfield, CA), Sutter Valley Medical Foundation (Fairfield, CA) and Anesthesia Services Of Napa Valley (Napa, CA). Each 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 Douglas Kooyman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Douglas Kooyman was last updated on July 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.
# Douglas Allen Kooyman, CRNA · NPI 1891099024
Nurse Anesthetist, Certified Registered physician in Travis Afb, California. Individual provider, active in the CMS NPPES registry since January 3, 2011.
## Identity
- **NPI:** 1891099024 (Entity type: Individual)
- **Enumerated:** January 3, 2011
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** COA12072 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 101 BODIN CIR, Travis Afb, CA 94535-1809
- **Phone:** (707) 423-3000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Green Anesthesia (NPI 1457039331, Fairfield, CA); Sutter Valley Medical Foundation (NPI 1184859894, Fairfield, CA); Anesthesia Services Of Napa Valley (NPI 1255016234, Napa, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** July 30, 2019
---
Source: [NPI Profile](https://npiprofile.com/npi/1891099024) · Data from the CMS NPPES public registry.