Active NPI
Vernon Chad Nielsen, CRNA
- Certified Registered Nurse Anesthetist
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- NA95001084
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 FresnoMission Nursing Anesthesia IncAmsurg Fresno Ca Anesthesia LP
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
- Fresno Surgical Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NA95001084 | CA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Foundation Medical Group | Current | Accepting new patients | |
| Community Foundation Medical Group | Current | Accepting new patients | |
| Amsurg Fresno Ca Anesthesia LP | Current | Accepting new patients | |
| Amsurg Clovis Ca Anesthesia LP | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Regional Anesthesia Associates Inc | Current | Accepting new patients | |
| Hypnos Anesthesia a Nursing Corporation | Nurse Anesthetist, Certified Registered | Current | 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.
-
- Certified Registered Nurse Anesthetist
- Clovis, CA
- NPI 1710731773
CA, Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Fresno, CA
- NPI 1912732637
CA, Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Rancho Mirage, CA
- NPI 1932571551
-
- Orthopaedic Surgery Physician
- Fresno, CA
- NPI 1376056721
-
- Anesthesiology Physician
- Bakersfield, CA
- NPI 1811442874
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.