Individual provider Active NPI

Ronnie Jay Wing, CRNA

  • Nurse Practitioner
  • Elko, NV
National Provider Identifier
1013974369
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
824627 Issued in NV
Practice address
1775 Browning Way Ste 102
Elko, NV 89801-8338
Phone
(775) 299-4555
Fax
(775) 525-5257
NPI assigned
Apr 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X AP61066966 WA
Certified Registered Nurse Anesthetist 367500000X CRNA000228 NV
Nurse Practitioner 363L00000X 824627 NV Primary

Addresses

Primary practice location

1775 Browning Way Ste 102
Elko, NV 89801-8338

Mailing address

660 S Coolidge St
Moses Lake, WA 98837-1872
Phone (509) 793-9715

Other practice location 1

2001 Errecart Blvd
Northeastern Nevada Regional Hospital
Elko, NV 89801
Phone (775) 738-5151

Other practice location 2

801 E Wheeler Rd
Moses Lake, WA 98837-1820
Phone (509) 765-5606

Other identifiers 3

IdentifierTypeStateIssuer
002404030MedicaidNV
2157457MedicaidWA
P00003556OtherNVPALMETTO GBA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, NM, WA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20101120000056 NV Practitioner - Certified Registered Nurse Anesthetist (Crna) 6103892013 Reassigns benefits to 4 organizations
I20190801000281 NM Practitioner - Certified Registered Nurse Anesthetist (Crna) 6103892013 Reassigns benefits to 1 organization
I20200807000122 WA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6103892013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2001
Medicare assignment
May accept Medicare assignment
Group practices
Western Anesthesia Provider Group-Scherr PCGroup PAC ID 6204160385, 9 clinicians
Otero County Hospital AssociationGroup PAC ID 3173516606, 245 clinicians

Practice addresses (Care Compare)

2001 Errecart Blvd
Elko, NV 89801-8333
Phone (775) 738-5151

2669 Scenic Dr
Alamogordo, NM 88310-8700
Phone (505) 439-6100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
824627NVMDNurse Practitioner
AP61066966WAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Otero County Hospital Association CurrentSince Jul 12, 2024 Accepting new patients
Red Rock Anesthesia Consultants LLC CurrentSince Jul 1, 2023 Accepting new patients
Grant County Public Hospital District 1 CurrentSince Jun 1, 2020 Accepting new patients
Carson Tahoe Physician Hospital Organization, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 30, 2023 Accepting new patients
Grant County Public Hospital District 1 Current Accepting new patients
Amin, Dunckelmeyer and Luu PLLC CurrentSince Aug 1, 2023 Accepting new patients
Grant County Public Hospital District 1 CurrentSince Jun 1, 2020 Accepting new patients
Otero County Hospital Association CurrentSince Jul 12, 2024 Accepting new patients
Western Anesthesia Provider Group-Scherr, P.C. CurrentSince Apr 1, 2022 Accepting new patients
Covenant Anesthesia Group, PC Past Accepting new patients
Ruby Dome Pain Management LLC Nurse Anesthetist, Certified Registered PastSince Oct 1, 2010 Accepting new patients

Locations

2669 Scenic Dr
Alamogordo, NM 88310
Phone (505) 439-6100

1600 Medical Pkwy
Carson City, NV 89703
Phone (775) 220-9149

2001 Errecart Blvd
Elko, NV 89801
Phone (775) 738-5151

5400 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 252-7342

150 S Nevada Highway 160
Ste 8199
Pahrump, NV 89048
Phone (917) 903-0010

660 S Coolidge St
Moses Lake, WA 98837

2000 S Clover Dr
Moses Lake, WA 98837
Phone (509) 765-5606

801 E Wheeler Rd
Moses Lake, WA 98837
Phone (509) 765-5606

Organizations & group practices 11

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 2

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": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1013974369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 S COOLIDGE ST",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988371872",
            "telephone_number": "509-793-9715",
            "fax_number": "509-764-3244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 BROWNING WAY STE 102",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898018338",
            "telephone_number": "775-299-4555",
            "fax_number": "775-525-5257"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 Errecart Blvd",
            "address_2": "Northeastern Nevada Regional Hospital",
            "address_purpose": "LOCATION",
            "city": "Elko",
            "state": "NV",
            "postal_code": "89801",
            "country_code": "US",
            "telephone_number": "775-738-5151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 E Wheeler Rd",
            "address_purpose": "LOCATION",
            "city": "Moses Lake",
            "state": "WA",
            "postal_code": "988371820",
            "country_code": "US",
            "telephone_number": "509-765-5606",
            "fax_number": "509-764-3244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WING",
        "first_name": "RONNIE",
        "middle_name": "JAY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "AP61066966",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NV",
            "license": "CRNA000228",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "824627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002404030",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2157457",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "P00003556",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elko, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; 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.