Individual provider Active NPI

Ann Winer, CRNA

  • Certified Registered Nurse Anesthetist
  • Charlottesville, VA
National Provider Identifier
1063461457
Registry record updated Sep 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0024055761 Issued in VA
Practice address
1215 Lee St
Charlottesville, VA 22908-0816
Phone
(434) 924-0000
NPI assigned
May 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN-176227 OH
Certified Registered Nurse Anesthetist 367500000X 0024055761 VA Primary

Addresses

Primary practice location

1215 Lee St
Charlottesville, VA 22908-0816

Mailing address

PO Box 800778
Charlottesville, VA 22908-0778
Phone (434) 982-4228

Other identifiers 8

IdentifierTypeStateIssuer
000000125734OtherOHANTHEM BCBS INDV NUMBER
730618OtherOHBUCKEYE COMMUNITY HLTH PL
7091249MedicaidOH
2080224OtherOHEMP UNITED HEALTHCARE GRP
34-0891295OtherOHEMPLOYER FEDERAL TAX ID #
0751315MedicaidOH
100153OtherOHEMPLOYER KAISER GROUP #
120811OtherOHKAISER PERMANENTE INDV #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180621001769 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 8527965623 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN-176227OHMDCertified Registered Nurse Anesthetist
0024055761VAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
CPR Anesthesia, Inc Nurse Anesthetist, Certified Registered CurrentSince Dec 14, 2020 Accepting new patients
Professional Anesthesia Service Inc PastSince Apr 29, 1998 Accepting new patients
Anesthesia Associates of Richmond, Inc Past Accepting new patients
Grant Anesthesia Services LTD Past Accepting new patients
Anesthesia Associates of Mansfield, Inc PastSince Jan 15, 2004 Accepting new patients

Locations

715 Camden St
San Antonio, TX 78215
Phone (210) 692-0218

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348617600000",
    "number": "1063461457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 800778",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229080778",
            "telephone_number": "434-982-4228",
            "fax_number": "434-924-2078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 LEE ST",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229080816",
            "telephone_number": "434-924-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINER",
        "first_name": "ANN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2012-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "RN-176227",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024055761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS INDV NUMBER",
            "identifier": "000000125734",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUCKEYE COMMUNITY HLTH PL",
            "identifier": "730618",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7091249",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMP UNITED HEALTHCARE GRP",
            "identifier": "2080224",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYER FEDERAL TAX ID #",
            "identifier": "34-0891295",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0751315",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYER KAISER GROUP #",
            "identifier": "100153",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER PERMANENTE INDV #",
            "identifier": "120811",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.