Individual provider Active NPI

Trevor A Capron, CRNA

  • Certified Registered Nurse Anesthetist
  • Lake City, IA
National Provider Identifier
1053446401
Registry record updated May 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
D-099790 Issued in IA
Practice address
1301 W Main St
Lake City, IA 51449-1585
Phone
(712) 464-3171
NPI assigned
Feb 23, 2007
Last updated
May 13, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
104665000MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080708000493 IA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7911005400 Reassigns benefits to 5 organizations
I20211028000506 WI Practitioner - Certified Registered Nurse Anesthetist (Crna) 7911005400 Reassigns benefits to 2 organizations

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
North Iowa Mercy ClinicsGroup PAC ID 7810809076, 304 clinicians
Southwest Health Center IncGroup PAC ID 3072427772, 110 clinicians
Grinnell Regional Medical CenterGroup PAC ID 0446153662, 98 clinicians

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

LicenseStateTypeSpecialty
099790IAMDOccupational Therapist
D-099790IAMDCertified Registered Nurse Anesthetist
R178084MNMDCertified Registered Nurse Anesthetist
R0098829OKMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Waverly Health Center Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2022 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Waverly Health Center CurrentSince Aug 1, 2022 Accepting new patients
Southwest Health Center, Inc. CurrentSince Nov 1, 2021 Accepting new patients
Grinnell Regional Medical Center Nurse Anesthetist, Certified Registered CurrentSince Apr 7, 2025 Accepting new patients
Medical Associates Clinic P C CurrentSince Feb 13, 2024 Accepting new patients
Southwest Health Center, Inc. CurrentSince Nov 1, 2021 Accepting new patients
Mercy Medical Center New Hampton Current Accepting new patients
North Iowa Mercy Clinics CurrentSince Dec 9, 2024 Accepting new patients
Southwest Health Center, Inc CurrentSince Dec 1, 2025 Accepting new patients
North Iowa Mercy Clinics CurrentSince Dec 9, 2024 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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.

Verify at the official NPI Registry.