Individual provider Active NPI

Bruce Scott Weickel, CRNA

  • Certified Registered Nurse Anesthetist
  • Bowling Green, KY
National Provider Identifier
1093709545
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4518A Issued in KY
Practice address
250 Park St
Bowling Green, KY 42101-1760
Phone
(270) 745-1000
Fax
(270) 393-1913
NPI assigned
Sep 9, 2005
Last updated
Oct 11, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 4518A KY Primary

Addresses

Primary practice location

250 Park St
Bowling Green, KY 42101-1760

Mailing address

350 Park St
Ste 203 B
Bowling Green, KY 42101-1784
Phone (270) 393-1912

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, MT, IN, OR4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20050112000477 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 8527016997 Reassigns benefits to 3 organizations
I20230601001321 MT Practitioner - Certified Registered Nurse Anesthetist (Crna) 8527016997 Reassigns benefits to 2 organizations
I20240506000742 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 8527016997 Reassigns benefits to 1 organization
I20240524002105 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 8527016997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Methodist Health, Inc.Group PAC ID 4981508454, 69 clinicians
Professional Anesthesia Services of Kentucky PLLCGroup PAC ID 0244590305, 351 clinicians

Practice addresses (Care Compare)

1305 N Elm St
Henderson, KY 42420-2783
Phone (270) 827-7200

200 E Chestnut St
Louisville, KY 40202-1831
Phone (502) 629-8000

913 N Dixie Ave
Elizabethtown, KY 42701-2503
Phone (270) 706-1212

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4518AKYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Consulting Partners PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 30, 2024 Accepting new patients
Commonwealth Health Corporation, Inc. CurrentSince Jul 1, 2018 Accepting new patients
Bay Area Hospital District CurrentSince Apr 1, 2024 Accepting new patients
Bay Area Hospital District Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2024 Accepting new patients
Methodist Health, Inc. Nurse Anesthetist, Certified Registered CurrentSince Apr 6, 2024 Accepting new patients
Commonwealth Health Corporation, Inc. CurrentSince Jul 1, 2018 Accepting new patients
Deaconess Hospital, Inc Current Accepting new patients
SCL Health Medical Group-Butte LLC CurrentSince May 1, 2023 Accepting new patients
Deaconess Hospital Inc CurrentSince Jan 16, 2024 Accepting new patients
Deaconess Hospital, Inc Nurse Anesthetist, Certified Registered CurrentSince Mar 19, 2024 Accepting new patients
Methodist Health, Inc. Current Accepting new patients
Methodist Health, Inc. CurrentSince Apr 6, 2024 Accepting new patients
Deaconess Hospital Inc CurrentSince Jan 16, 2024 Accepting new patients
SCL Health Medical Group-Butte LLC CurrentSince May 1, 2023 Accepting new patients
Commonwealth Health Corporation, Inc Current Accepting new patients
Professional Anesthesia Services of Kentucky PLLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2018 Accepting new patients

Locations

Dept LA 25339
Pasadena, CA 91185

600 Mary St
Evansville, IN 47710
Phone (812) 450-2239

4011 Gateway Blvd
Newburgh, IN 47630
Phone (812) 450-2240

1801 Ashley Cir
Bowling Green, KY 42104
Phone (270) 781-4330

250 Park St
Bowling Green, KY 42101
Phone (270) 745-1000

350 Park St
Ste 203
Bowling Green, KY 42101
Phone (270) 781-0075

913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212

1305 N Elm St
Henderson, KY 42420
Phone (270) 827-7100

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

2400 Eastpoint Pkwy
Louisville, KY 40223
Phone (502) 210-4850

4960 Norton Healthcare Blvd
Louisville, KY 40241
Phone (502) 446-8000

4000 Kresge Way
St Matthews, KY 40207
Phone (502) 459-7902

400 S Clark St
Butte, MT 59701
Phone (406) 495-7260

1775 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-8090

2650 N 17th St
Coos Bay, OR 97420
Phone (541) 267-5411

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 1

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": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192060800000",
    "number": "1093709545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 PARK ST",
            "address_2": "STE 203 B",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011784",
            "telephone_number": "270-393-1912",
            "fax_number": "270-393-1913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 PARK ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011760",
            "telephone_number": "270-745-1000",
            "fax_number": "270-393-1913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEICKEL",
        "first_name": "BRUCE",
        "middle_name": "SCOTT",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2007-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "4518A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; 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.