Active NPI
Roni M Wilson, CRNA
- Certified Registered Nurse Anesthetist
- Minot, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R28873
- Practice address
- 1 Burdick Expy W
Minot, ND 58701-4406 - Phone
- (701) 857-5124
- Fax
- (701) 857-3264
- NPI assigned
- Sep 21, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R28873 | ND | Primary |
Addresses
Primary practice location
1 Burdick Expy W
Minot, ND 58701-4406
Mailing address
PO Box 5010
Minot, ND 58702-5010
Phone (701) 857-5124
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Medical Ctr Dr
Hazard, KY 41701-9421
Phone (606) 439-6600
3600 W Cumberland Ave
Middlesboro, KY 40965-2614
Phone (606) 242-1100
5000 Ky Route 321
Prestonsburg, KY 41653-9113
Phone (606) 886-8511
Hospital & facility affiliations
- Highlands Arh Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Triangle Anesthesia Group PSC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Seminole Hospital District of Gaines County Texas | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Seminole Hospital District of Gaines County Texas | Current | Accepting new patients | |
| Seminole Hospital District of Gaines County Texas | Past | Accepting new patients |
Locations
100 Medical Dr
Hazard, KY 41701
Phone (606) 439-6600
425 Lewis Hargett Cir
Lexington, KY 40503
Phone (606) 679-9322
209 NW 8th St
Seminole, TX 79360
Phone (432) 758-5811
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Hazard, KY
- NPI 1124079314
Nurse Anesthetist, Certified Registered
-
- Community/Retail Pharmacy
- Seminole, TX
- NPI 1427618461
-
- Critical Access Hospital
- Seminole, TX
- NPI 1821025990
Nurse Anesthetist, Certified Registered
-
- Rural Health Clinic/Center
- Seminole, TX
- NPI 1467879569
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Prestonsburg, KY
- NPI 1043878325
-
- Multi-Specialty Clinic/Center
- Prestonsburg, KY
- NPI 1700445319
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124127972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5010",
"city": "MINOT",
"state": "ND",
"postal_code": "587025010",
"telephone_number": "701-857-5124",
"fax_number": "701-857-3264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BURDICK EXPY W",
"city": "MINOT",
"state": "ND",
"postal_code": "587014406",
"telephone_number": "701-857-5124",
"fax_number": "701-857-3264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "RONI",
"middle_name": "M",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ND",
"license": "R28873",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minot, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.