Active NPI
Loren B Thiel, MS CRNA
- Certified Registered Nurse Anesthetist
- Douglas, WY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 192490704
- Practice address
- 111 S 5TH St
Douglas, WY 82633-2434 - Phone
- (307) 358-2122
- NPI assigned
- Sep 28, 2006
- 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 | 192490704 | WY | Primary |
Addresses
Primary practice location
111 S 5TH St
Douglas, WY 82633-2434
Mailing address
PO Box 1385
Idaho Falls, ID 83403-1385
Phone (208) 525-2090
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 311834 | Other | WY | BCBS |
| 114342500 | Medicaid | WY | |
| P00065251 | Other | RAILROAD MC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 S 5TH St
Douglas, WY 82633-2434
Phone (307) 358-2122
6350 E 2ND St
Casper, WY 82609-4264
Phone (307) 232-6600
700 E Ctr St
Douglas, WY 82633-2446
Phone (307) 358-7300
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 192490704 | WY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital of Converse County | Current | Accepting new patients | |
| Panhandle Anesthesia Associates PC | Past | Accepting new patients | |
| Wyoming Regional Anesthesia LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
111 S 5th St
Douglas, WY 82633
Phone (307) 358-6200
Organizations & group practices 4
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.
-
- General Practice Physician
- Douglas, WY
- NPI 1356496491
-
- Critical Access Hospital
- Douglas, WY
- NPI 1326085408
-
- Certified Registered Nurse Anesthetist
- Douglas, WY
- NPI 1013080688
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Scottsbluff, NE
- NPI 1801966965
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Douglas, WY
- NPI 1326085408
-
- General Acute Care Hospital
- Casper, WY
- NPI 1609297506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518652800000",
"number": "1063503514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1385",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834031385",
"telephone_number": "208-525-2090",
"fax_number": "208-523-8978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 S 5TH ST",
"city": "DOUGLAS",
"state": "WY",
"postal_code": "826332434",
"telephone_number": "307-358-2122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THIEL",
"first_name": "LOREN",
"middle_name": "B",
"name_prefix": "Mr.",
"credential": "MS CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2018-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WY",
"license": "192490704",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "311834",
"state": "WY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114342500",
"state": "WY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MC",
"identifier": "P00065251",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Douglas, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2018; 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.