Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Camron Reza Ansari

Individual provider Certified Registered Nurse Anesthetist · NPI 1609029107

Camron Reza Ansari is a Certified Registered Nurse Anesthetist (CRNA) in Edgewood, Kentucky. Qualified in 2008, 18 years ago. Practices with Anesthesia Group Practice Inc, a 399-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
18
Licensed in
KY
In the registry since
2008
Specialties on file
2

Practice location Address checks out

1 Medical Village Dr
Edgewood, KY 41017-3403
Phone: (859) 341-7246
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 081074 (KY)
Registered Nurse Taxonomy 163W00000X · Licence 1104576 (KY)

Record details

NPI number1609029107
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 28, 2008
Last updated in NPPESJuly 22, 2009

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Anesthesia Group Practice Inc — 399 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Edgewood