Individual provider Active NPI

Eric Clark Bingner, CRNA

  • Certified Registered Nurse Anesthetist
  • Fort Atkinson, WI
National Provider Identifier
1093827628
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
644033 Issued in WI
Practice address
N1607 S Main St
Fort Atkinson, WI 53538-8736
Phone
(920) 568-0436
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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 644033 WI Primary

Addresses

Primary practice location

N1607 S Main St
Fort Atkinson, WI 53538-8736

Mailing address

N1607 S. Main St. Fort Atkinson
Fort Atkinson, WI 53538-8736
Phone (920) 650-2338

Other identifiers 2

IdentifierTypeStateIssuer
43362700MedicaidWI
46259OtherAANA #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040521001072 WI Practitioner - Certified Registered Nurse Anesthetist (Crna) 0648261164 Reassigns benefits to 2 organizations
I20080522000241 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 0648261164 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Partners Services SCGroup PAC ID 4082832514, 37 clinicians

Practice addresses (Care Compare)

2801 W Kinnickinnic River Pkwy
Suite 1080
Milwaukee, WI 53215-3689
Phone (414) 908-6500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
644WIMDSpeech-Language Pathologist
644033WIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Rockford Anesthesiologists Associated, L.L.C. Anesthesiology CurrentSince May 6, 2019 Accepting new patients
Thedacare, Incorporated CurrentSince Jul 1, 2009 Accepting new patients
Anesthesia Partners Services, S.C. Anesthesiology CurrentSince Aug 1, 2019 Accepting new patients
Rockford Anesthesiologists Associated, L.L.C. Nurse Anesthetist, Certified Registered CurrentSince May 6, 2019 Accepting new patients
Moline Anesthesia PLLC Anesthesiology CurrentSince Mar 1, 2019 Accepting new patients
Stoughton Hospital Association Past Accepting new patients

Locations

545 Valley View Dr
Moline, IL 61265
Phone (309) 277-1180

1016 Featherstone Rd
Rockford, IL 61107
Phone (815) 226-3300

1401 E State St
Rockford, IL 61104
Phone (815) 489-4267

401 Commerce St
Ste 600
Nashville, TN 37219
Phone (615) 345-6900

4480 W Spencer St
Appleton, WI 54914
Phone (920) 738-4800

122 E College Ave
Appleton, WI 54911
Phone (920) 996-3264

2801 W Kinnickinnic River Pkwy
Ste 1080
Milwaukee, WI 53215
Phone (414) 908-6506

88948 Box
Milwaukee, WI 53288

1405 Mill St
New London, WI 54961
Phone (920) 531-2000

Organizations & group practices 6

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1093827628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N1607 S. MAIN ST. FORT ATKINSON",
            "city": "FORT ATKINSON",
            "state": "WI",
            "postal_code": "535388736",
            "telephone_number": "920-650-2338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N1607 S MAIN ST",
            "city": "FORT ATKINSON",
            "state": "WI",
            "postal_code": "535388736",
            "telephone_number": "920-568-0436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINGNER",
        "first_name": "ERIC",
        "middle_name": "CLARK",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WI",
            "license": "644033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43362700",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AANA #",
            "identifier": "46259",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Atkinson, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.