Elliott Adent
Individual provider Active NPI Certified Registered Nurse Anesthetist · Wausau, WI
NPI 1013453497 · NPPES record last updated Nov 14, 2019
Key facts
- NPI
- 1013453497
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 112587 (WI)
- Practice address
- 425 Pine Ridge Blvd
Suite 211
Wausau, WI 54401-4123 - Phone
- (715) 845-5505
- NPI assigned
- Jan 10, 2017
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Central Wisconsin Anesthesiology
Practice addresses (Care Compare)
425 Pine Ridge Blvd
Suite 211
Wausau, WI 54401-4123
Phone (715) 845-5505
Hospital & facility affiliations
- Aspirus Wausau Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.11 of 100
- Quality
- 74.74
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170222002164 | WI | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 8820372634 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112587 | WI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Wisconsin Anesthesiology | Current |
Accepting new patients |
Locations
425 Pine Ridge Blvd
Ste 211
Wausau, WI 54401
Phone (715) 845-5505
425 Pine Ridge Blvd
Ste 21
Wausau, WI 54401
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 112587 | WI | Yes |
Addresses
Primary practice location
425 Pine Ridge Blvd
Suite 211
Wausau, WI 54401-4123
Mailing address
224877 Lakeshore Dr
Wausau, WI 54401-5423
Phone (314) 556-2360
Other providers in Wausau, WI
- Acuity Neurology, S.C.
- Douglas Adams
- Theresa A Adamski
- Adaptive Communities, Inc.
- Olivia Addison
- Advanced Back and Neck Care Inc
- Advanced Dental Professionals, LLC
- Advanced Pain Management SC
- Belal Sayed Afridi
- Ian Jeffrey Agar
All providers in Wausau, WI · Certified Registered Nurse Anesthetist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.