Jeremy R Taysom, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

56824 Issued in WY

Practice address

190 Arrowhead Dr
Evanston, WY 82930-9266

Phone

(307) 789-3636

NPI assigned

Jul 16, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AK, WY2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Evanston Hospital CorporationGroup PAC ID 7113900358, 15 clinicians

Anesthesia Care Associates PCGroup PAC ID 0446244388, 40 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Evanston Regional Hospital Hospital, Evanston, WY, CCN 531319
• Mat-Su Regional Medical Center Hospital, Palmer, AK, CCN 020006

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1583/brand/2/csg/28/fhir/r4

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.

• Evanston Hospital Corporation

  • Certified Registered Nurse Anesthetist
  • Evanston, WY
  • NPI 1013288836

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Anesthesia Care Associates, PC

  • Anesthesiology Physician
  • Palmer, AK
  • NPI 1033160452
  Medicare reassignment Care Compare group NPD
• Evanston Hospital Corporation

  dba Evanston Regional Hospital

  • General Acute Care Hospital
  • Evanston, WY
  • NPI 1639140015
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Evanston Hospital Corporation

  dba Evanston Regional Hospital

  • General Acute Care Hospital
  • Evanston, WY
  • NPI 1639140015
  Care Compare affiliation
• Mat-Su Valley Medical Center LLC

  dba Mat-Su Regional Medical Center

  • General Acute Care Hospital
  • Palmer, AK
  • NPI 1417975061
  Care Compare affiliation

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1093060170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 CRANE AVE",
            "city": "EVANSTON",
            "state": "WY",
            "postal_code": "829304916",
            "telephone_number": "208-421-4819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 ARROWHEAD DR",
            "city": "EVANSTON",
            "state": "WY",
            "postal_code": "829309266",
            "telephone_number": "307-789-3636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2910 E Tamarak Ave",
            "address_purpose": "LOCATION",
            "city": "Wasilla",
            "state": "AK",
            "postal_code": "996547484",
            "country_code": "US",
            "telephone_number": "208-421-4819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYSOM",
        "first_name": "JEREMY",
        "middle_name": "R",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-16",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ID",
            "license": "RNA-837",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WY",
            "license": "56824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle John Tase
• Jessie Faye Taylor, PHARMD
• Linford Taylor
• Michael Taylor
• Tina Taylor
• Tender Heart Assisted Living
• Tender Heart Home Care Hospice
• Amy Tennant
• The Intuitive Parents Physical Therapy LLC
• Louise Ann Thomas

• Certified Registered Nurse Anesthetist in Evanston, WY
• Providers in Evanston, WY by specialty
• Certified Registered Nurse Anesthetist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; 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.