Active NPI
John C Hergert, CRNA
- Certified Registered Nurse Anesthetist
- Rutland, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 101-0054298
- Practice address
- 160 Allen Street
Rutland, VT 05701 - Phone
- (802) 747-1700
- NPI assigned
- Jun 19, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 101-0054298 | VT | Primary |
Addresses
Primary practice location
160 Allen Street
Rutland, VT 05701
Mailing address
1613 Harrison Pkwy
Suite 200 Mailstop SH-9a
Sunrise, FL 33323-2896
Phone (954) 838-2371
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4309 Medical Ctr Dr
Fayetteville, NY 13066-6638
Phone (315) 329-7300
4900 Broad Rd
Syracuse, NY 13215-2265
Phone (315) 498-6200
Hospital & facility affiliations
- University Hospital S U N Y Health Science Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101-0054298 | VT | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agcny Physicians PLLC | Current | Accepting new patients | |
| Chag Anesthesia PC | Current | Accepting new patients |
Locations
4939 Brittonfield Pkwy
East Syracuse, NY 13057
Phone (315) 463-1600
4309 Medical Center Dr
Fayetteville, NY 13066
Phone (315) 329-7300
4302 Medical Center Dr
Fayetteville, NY 13066
Phone (315) 423-9722
4900 Broad Rd
Syracuse, NY 13215
Phone (315) 492-5011
190 Intrepid Ln
Syracuse, NY 13205
Phone (315) 498-6200
1226 E Water St
Syracuse, NY 13210
Phone (315) 423-7226
4900 Broad Rd
Bldg S
Syracuse, NY 13215
Phone (315) 299-5313
4900 Broad Rd
Ste 2D
Syracuse, NY 13215
Phone (315) 255-0606
195 Intrepid Ln
Syracuse, NY 13205
Phone (315) 469-6789
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Fayetteville, NY
- NPI 1033497136
-
- Anesthesiology Physician
- Syracuse, NY
- NPI 1740279017
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1578554630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390348800000",
"number": "1053548727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1613 HARRISON PKWY",
"address_2": "SUITE 200 MAILSTOP SH-9A",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333232896",
"telephone_number": "954-838-2371",
"fax_number": "954-851-1746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 ALLEN STREET",
"city": "RUTLAND",
"state": "VT",
"postal_code": "05701",
"telephone_number": "802-747-1700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERGERT",
"first_name": "JOHN",
"middle_name": "C",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-19",
"last_updated": "2014-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VT",
"license": "101-0054298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rutland, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; 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.