Brian E. Austin, C.R.N.A.
Individual provider Active NPI Certified Registered Nurse Anesthetist · Gillette, WY
NPI 1114016193 · NPPES record last updated Dec 23, 2020
Key facts
- NPI
- 1114016193
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 13446.770 (WY)
- Practice address
- 501 S Burma Ave
Gillette, WY 82716-3426 - Phone
- (307) 688-1524
- Fax
- (307) 687-7243
- NPI assigned
- Oct 11, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Campbell County Hospital District
Practice addresses (Care Compare)
501 S Burma Ave
Gillette, WY 82716-3426
Phone (307) 688-1000
Hospital & facility affiliations
- Campbell County Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101112000059 | WY | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 2668667965 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13446.770 | WY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Campbell County Hospital District | Current |
Accepting new patients | |
| Campbell County Hospital District | Current |
Accepting new patients | |
| Campbell County Hospital District | Current | Accepting new patients | |
| Campbell County Hospital District | Current | Accepting new patients | |
| Kansas Pain Management | Past | Accepting new patients |
Locations
501 S Burma Ave
Gillette, WY 82716
Phone (307) 682-8811
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 13446.770 | WY | Yes |
Addresses
Primary practice location
501 S Burma Ave
Gillette, WY 82716-3426
Mailing address
PO Box 2098
Gillette, WY 82717-2098
Phone (307) 688-1524
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cchwyo@cchwyo.sdhealthlink.net | Health Information Exchange (HIE) |
NPI Registry JSON
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608681600000",
"number": "1114016193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2098",
"city": "GILLETTE",
"state": "WY",
"postal_code": "827172098",
"telephone_number": "307-688-1524",
"fax_number": "307-687-7243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 S BURMA AVE",
"city": "GILLETTE",
"state": "WY",
"postal_code": "827163426",
"telephone_number": "307-688-1524",
"fax_number": "307-687-7243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUSTIN",
"first_name": "BRIAN",
"middle_name": "E.",
"credential": "C.R.N.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2020-12-23",
"certification_date": "2020-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WY",
"license": "13446.770",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cchwyo@cchwyo.sdhealthlink.net",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "501 S Burma Ave",
"city": "Gillette",
"state": "WY",
"country_code": "US",
"postal_code": "827163426",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Gillette, WY
- Associates in Womens Health PC
- Atlantic Home Health Care, LLC
- Atlas Chiropractic of Gillette, LLC
- Atlas Therapy LLC
- Carli Ausmann
- Brooke Alexandra Austin
- B. Lawrence Bennett DDS PC
- Sarah Michelle Bahige
- Kaylyn Brook Bahnson
- Nitan Bahnson
All providers in Gillette, WY · Certified Registered Nurse Anesthetist in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 23, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.