Individual provider Active NPI

Vernon Chad Nielsen, CRNA

  • Certified Registered Nurse Anesthetist
  • Fresno, CA
National Provider Identifier
1043775604
Registry record updated Feb 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
NA95001084 Issued in CA
Practice address
2823 Fresno St
Fresno, CA 93721-1324
Phone
(559) 459-6000
NPI assigned
Feb 7, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X NA95001084 CA Primary

Addresses

Primary practice location

2823 Fresno St
Fresno, CA 93721-1324

Mailing address

3886 S 1580 W
West Valley City, UT 84119-4842
Phone (801) 349-9790

Other practice location 1

2755 Herndon Ave
Clovis, CA 93611-6800
Phone (559) 324-4000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190403000405 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7214278159 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Anesthesia Consultants of FresnoGroup PAC ID 8527967082, 64 clinicians
Mission Nursing Anesthesia IncGroup PAC ID 9436459278, 43 clinicians
Amsurg Fresno Ca Anesthesia LPGroup PAC ID 8729208566, 11 clinicians

Practice addresses (Care Compare)

1303 E Herndon Ave
Fresno, CA 93720-3309

1360 E Spruce Ave
Suite 101a
Fresno, CA 93720-3378
Phone (559) 437-5645

35800 Bob Hope Dr
Suite 100
Rancho Mirage, CA 92270-1739
Phone (760) 699-6500

7055 N Fresno St
Suite 100
Fresno, CA 93720-2957
Phone (559) 440-9100

Hospital & facility affiliations

  • Saint Agnes Medical Center Hospital, Fresno, CA, CCN 050093
  • Fresno Surgical Hospital Hospital, Fresno, CA, CCN 050708

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NA95001084CAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Foundation Medical Group Current Accepting new patients
Community Foundation Medical Group CurrentSince Mar 1, 2019 Accepting new patients
Amsurg Fresno Ca Anesthesia LP CurrentSince Oct 2, 2019 Accepting new patients
Amsurg Clovis Ca Anesthesia LP Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2025 Accepting new patients
Regional Anesthesia Associates Inc CurrentSince Feb 27, 2019 Accepting new patients
Hypnos Anesthesia a Nursing Corporation Nurse Anesthetist, Certified Registered CurrentSince Aug 10, 2025 Accepting new patients

Locations

1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

501 N Medical Center Dr E
Ste 101
Clovis, CA 93611
Phone (559) 797-9290

7417 N Cedar Ave
Fresno, CA 93720
Phone 5594360871111

2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

7055 N Fresno St
Ste 100
Fresno, CA 93720
Phone (559) 440-9100

1843 E Fir Ave
Ste 104
Fresno, CA 93720
Phone (559) 323-6611

7417 N Cedar Ave
Ste 101
Fresno, CA 93720
Phone (559) 437-5645

1332 W Herndon Ave
Ste 102
Fresno, CA 93711
Phone (559) 440-9640

869 N Cherry St
Tulare, CA 93274
Phone (559) 326-2800

1801 Colorado Ave
Ste 140
Turlock, CA 95382
Phone (209) 216-3470

Organizations & group practices 8

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": "1549497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551052800000",
    "number": "1043775604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3886 S 1580 W",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841194842",
            "telephone_number": "801-349-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2823 FRESNO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211324",
            "telephone_number": "559-459-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2755 Herndon Ave",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "CA",
            "postal_code": "936116800",
            "country_code": "US",
            "telephone_number": "559-324-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "VERNON",
        "middle_name": "CHAD",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-07",
        "last_updated": "2019-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "NA95001084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2019; 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.