Active NPI
Trevor A Capron, CRNA
- Certified Registered Nurse Anesthetist
- Lake City, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- D-099790
- Practice address
- 1301 W Main St
Lake City, IA 51449-1585 - Phone
- (712) 464-3171
- NPI assigned
- Feb 23, 2007
- Last updated
- May 13, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R178084 | MN | |
| Certified Registered Nurse Anesthetist | 367500000X | D-099790 | IA | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | R0098829 | OK | |
| Certified Registered Nurse Anesthetist | 367500000X | 101296 | NE |
Addresses
Primary practice location
1301 W Main St
Lake City, IA 51449-1585
Mailing address
516 Lakewood Dr
Carroll, IA 51401-3406
Phone (712) 792-4066
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104665000 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, WI
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 4TH St SW
Mason City, IA 50401-2800
1400 Eastside Rd
Platteville, WI 53818-9800
Phone 60834823312263
202 4TH Ave
FL 2
Grinnell, IA 50112-1898
Phone (641) 236-2925
210 4TH Ave
Grinnell, IA 50112-1898
Phone (641) 236-7511
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 099790 | IA | MD | Occupational Therapist |
| D-099790 | IA | MD | Certified Registered Nurse Anesthetist |
| R178084 | MN | MD | Certified Registered Nurse Anesthetist |
| R0098829 | OK | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Waverly Health Center | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| St Luke's Methodist Hospital | Current | Accepting new patients | |
| Waverly Health Center | Current | Accepting new patients | |
| Southwest Health Center, Inc. | Current | Accepting new patients | |
| Grinnell Regional Medical Center | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Medical Associates Clinic P C | Current | Accepting new patients | |
| Southwest Health Center, Inc. | Current | Accepting new patients | |
| Mercy Medical Center New Hampton | Current | Accepting new patients | |
| North Iowa Mercy Clinics | Current | Accepting new patients | |
| Southwest Health Center, Inc | Current | Accepting new patients | |
| North Iowa Mercy Clinics | Current | Accepting new patients |
Locations
1000 Langworthy St
Dubuque, IA 52001
Phone (563) 584-3455
1500 Associates Dr
Dubuque, IA 52002
Phone (563) 584-4100
250 Mercy Dr
Dubuque, IA 52001
Phone (563) 589-8000
210 4th Ave
Grinnell, IA 50112
Phone (641) 236-2055
1000 4th St SW
Mason City, IA 50401
Phone (641) 424-6704
312 9th St SW
Waverly, IA 50677
Phone (319) 352-4120
1400 Eastside Rd
Platteville, WI 53818
Phone (608) 342-4712
Interoperability endpoints
- tcapron116427@direct.unitypoint.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Unitypoint Health - Grinnell Professional Services
- Family Medicine Physician
- Grinnell, IA
- NPI 1437663242
Nurse Anesthetist, Certified Registered
-
dba MercyOne North Iowa Anesthesia Professional Services
- Anesthesiology Physician
- Mason City, IA
- NPI 1780278242
-
- Critical Access Hospital
- Platteville, WI
- NPI 1831279793
-
- Multi-Specialty Clinic/Center
- Dubuque, IA
- NPI 1457300790
-
dba MercyOne New Hampton Medical Center (Hosp)
- Critical Access Hospital
- New Hampton, IA
- NPI 1770651515
-
dba Waverly Health Center Anesthesia
- Certified Registered Nurse Anesthetist
- Waverly, IA
- NPI 1033125463
Nurse Anesthetist, Certified Registered
-
dba MercyOne North Iowa Family and Sports Medicine
- Sports Medicine (Family Medicine) Physician
- Mason City, IA
- NPI 1982300349
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
dba Janesville Clinic
- Rural Health Clinic/Center
- Janesville, IA
- NPI 1184094534
-
dba Southwest Health Cuba City Clinic
- Rural Health Clinic/Center
- Cuba City, WI
- NPI 1316324429
-
dba The Eye Center - McGregor Plaza
- Optometrist
- Platteville, WI
- NPI 1750963773
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Unitypoint Health - Grinnell Regional Medical Center
- General Acute Care Hospital
- Grinnell, IA
- NPI 1669420501
-
dba Mercy Medical Center-North Iowa
- Rural Acute Care Hospital
- Mason City, IA
- NPI 1467537886
-
- Critical Access Hospital
- Platteville, WI
- NPI 1831279793
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431475200000",
"number": "1053446401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "516 LAKEWOOD DR",
"city": "CARROLL",
"state": "IA",
"postal_code": "514013406",
"telephone_number": "712-792-4066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 W MAIN ST",
"city": "LAKE CITY",
"state": "IA",
"postal_code": "514491585",
"telephone_number": "712-464-3171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPRON",
"first_name": "TREVOR",
"middle_name": "A",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-23",
"last_updated": "2015-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "R178084",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IA",
"license": "D-099790",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OK",
"license": "R0098829",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NE",
"license": "101296",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104665000",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; 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.