Individual provider Active NPI

Matthew R Mueller, CRNA

  • Certified Registered Nurse Anesthetist
  • West Bend, WI
National Provider Identifier
1013394717
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
7828 Issued in WI
Practice address
3200 Pleasant Valley Rd
West Bend, WI 53095-9274
Phone
(262) 836-7300
Fax
(262) 836-7301
NPI assigned
May 1, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 111990 WI
Certified Registered Nurse Anesthetist 367500000X 7828 WI Primary

Addresses

Primary practice location

3200 Pleasant Valley Rd
West Bend, WI 53095-9274

Mailing address

3200 Pleasant Valley Rd
West Bend, WI 53095-9274
Phone (262) 836-7300

Other identifiers 1

IdentifierTypeStateIssuer
100072967MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170901000090 WI Practitioner - Certified Registered Nurse Anesthetist (Crna) 4688947245 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Racine Anesthesia Services LLCGroup PAC ID 8628103777, 81 clinicians
Aurora Medical Group, Inc.Group PAC ID 6709794258, 3,764 clinicians

Practice addresses (Care Compare)

500 S Oakwood Rd
Oshkosh, WI 54904-7944
Phone (920) 223-2000

855 N Westhaven Dr
Oshkosh, WI 54904-7668
Phone (920) 303-8700

Hospital & facility affiliations

  • Aurora Medical Ctr Oshkosh Hospital, Oshkosh, WI, CCN 520198
  • Ascension NE Wisconsin - St Elizabeth Campus Hospital, Appleton, WI, CCN 520009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
111990WIMDCertified Registered Nurse Anesthetist
7828WIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Black River Health Inc CurrentSince Aug 1, 2017 Accepting new patients
Anesthesia Services of the Fox Valley SC CurrentSince Nov 21, 2023 Accepting new patients
Tri-County Memorial Hospital, Inc. CurrentSince Dec 17, 2019 Accepting new patients
Aurora Medical Group, Inc. Nurse Anesthetist, Certified Registered Current Accepting new patients
Tri-County Memorial Hospital, Inc. CurrentSince Dec 17, 2019 Accepting new patients
Racine Anesthesia Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2024 Accepting new patients
Black River Health Inc CurrentSince Aug 1, 2017 Accepting new patients
Tri-County Memorial Hospital, Inc. Current Accepting new patients
Aurora Medical Group, Inc. CurrentSince Dec 1, 2023 Accepting new patients
The Medical College of Wisconsin, Inc. CurrentSince Apr 1, 2025 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Dec 1, 2023 Accepting new patients
Laboratory Corportation of America Holdings Past Accepting new patients

Locations

4648 W Spencer St
Appleton, WI 54914
Phone (920) 731-7557

1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950

711 W Adams St
Blk River Fls, WI 54615
Phone (715) 284-1302

614 Memorial Dr
Chilton, WI 53014
Phone (800) 458-4042

1550 Midway Pl
Menasha, WI 54952
Phone (920) 727-8030

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

3801 Spring St
Mount Pleasant, WI 53405
Phone (262) 636-4011

1380 Tullar Rd
Neenah, WI 54956
Phone (920) 205-0379

855 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 451-5643

500 S Oakwood Rd
Oshkosh, WI 54904
Phone (920) 223-0501

8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100

3200 Pleasant Valley Rd
West Bend, WI 53095
Phone (262) 334-5533

18601 Lincoln St
Whitehall, WI 54773
Phone (715) 538-1712

Interoperability endpoints

  • Direct secure messaging: mmueller386089@direct.myadvocateaurora.org

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1430438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1013394717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 PLEASANT VALLEY RD",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530959274",
            "telephone_number": "262-836-7300",
            "fax_number": "262-836-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 PLEASANT VALLEY RD",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530959274",
            "telephone_number": "262-836-7300",
            "fax_number": "262-836-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUELLER",
        "first_name": "MATTHEW",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-01",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WI",
            "license": "111990",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WI",
            "license": "7828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100072967",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bend, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.