Individual provider Active NPI

William J Weast, CRNA

  • Certified Registered Nurse Anesthetist
  • Elizabeth City, NC
National Provider Identifier
1093766180
Registry record updated Oct 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
CRNA-01267 Issued in NM
Practice address
1144 N Road St
Elizabeth City, NC 27909-3353
Phone
(252) 335-0531
NPI assigned
May 13, 2006
Last updated
Oct 24, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2017

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 2610621 NC
Certified Registered Nurse Anesthetist 367500000X CRNA-01267 NM Primary

Addresses

Primary practice location

1144 N Road St
Elizabeth City, NC 27909-3353

Mailing address

2669 Scenic Dr
Alamogordo, NM 88310-8700
Phone (575) 443-7565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, IN, MI, TX4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20060405000573 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 4082623871 Reassigns benefits to 2 organizations
I20201021002349 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 4082623871 Reassigns benefits to 3 organizations
I20220730000318 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 4082623871 Reassigns benefits to 1 organization
I20260508002033 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 4082623871 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2005
Medicare assignment
May accept Medicare assignment
Group practices
Clinical Colleagues IncGroup PAC ID 8729011333, 170 clinicians
Emergenchealth PLLCGroup PAC ID 1355606641, 1,037 clinicians

Practice addresses (Care Compare)

1101 Michigan Ave
Loganport, IN 46947-1528
Phone (850) 497-6702

1260 E State Rd
Suite 205
Columbia City, IN 46725-9492
Phone (260) 248-9301

1601 W 11TH PL
Big Spring, TX 79720-4114
Phone (432) 263-1211

4444 Kalamazoo Ave SE
200 Corewell Health Medical Group West
Kentwood, MI 49508-4600
Phone (616) 391-5600

605 Oak St
Big Rapids, MI 49307-2048
Phone (231) 592-4270

7400 Barlite Blvd
San Antonio, TX 78224-1308
Phone (210) 921-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4727NCMDChiropractor
2610621NCMDCertified Registered Nurse Anesthetist
CRNA-01267NMMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
East Carolina Health Nurse Anesthetist, Certified Registered CurrentSince Jul 3, 2023 Accepting new patients
Vidant Medical Group LLC CurrentSince Dec 22, 2022 Accepting new patients
Ams Northern Indiana LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2024 Accepting new patients
East Carolina Health CurrentSince Jul 3, 2023 Accepting new patients
Vidant Medical Group LLC CurrentSince Dec 22, 2022 Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Mar 3, 2026 Accepting new patients
Iceland Anesthesia Management, LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2021 Accepting new patients
Clinical Colleagues LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2020 Accepting new patients
Anesthetix of Lexington, PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Nurse Anesthesia of North Carolina, PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

92 E McNab Rd
Pompano Beach, FL 33060

801 S Main St
Clinton, IN 47842
Phone (765) 832-1212

1260 E State Road 205
Columbia City, IN 46725
Phone (260) 248-9000

1721 Magnavox Way
Fort Wayne, IN 46804
Phone (260) 250-0001

441 N Wabash Ave
Marion, IN 46952
Phone (219) 482-4577

1915 Lake Ave
Plymouth, IN 46563
Phone (219) 936-3181

616 E 13th St
Winamac, IN 46996
Phone (574) 946-2100

500 Academy St S
Ahoskie, NC 27910
Phone (252) 209-3000

1144 N Road St
Elizabeth Cty, NC 27909
Phone (252) 384-4610

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

250 Smith Church Rd
Roanoke Rapids, NC 27870
Phone (252) 308-9699

9 Northeastern Blvd
Ste 400
Salem, NH 03079

Organizations & group practices 12

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.

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": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508803200000",
    "number": "1093766180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2669 SCENIC DR",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883108700",
            "telephone_number": "575-443-7565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 N ROAD ST",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093353",
            "telephone_number": "252-335-0531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAST",
        "first_name": "WILLIAM",
        "middle_name": "J",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-13",
        "last_updated": "2017-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "2610621",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NM",
            "license": "CRNA-01267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; 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.