Individual provider Active NPI

Austin Mark Miner, CRNA

  • Certified Registered Nurse Anesthetist
  • Ritzville, WA
National Provider Identifier
1134423361
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP60438100 Issued in WA
Practice address
903 S Adams St
Ritzville, WA 99169-2227
Phone
(509) 659-1200
NPI assigned
Jan 3, 2011
Last updated
Nov 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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 235000 AZ
Certified Registered Nurse Anesthetist 367500000X AP60438100 WA Primary

Addresses

Primary practice location

903 S Adams St
Ritzville, WA 99169-2227

Mailing address

903 S Adams St
Ritzville, WA 99169-2227
Phone (509) 659-1200

Other practice location 1

1015 NW 22nd Ave
Portland, OR 97210-3025
Phone (503) 413-6008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, AZ, ID3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20140422001665 WA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3870735053 Reassigns benefits to 6 organizations
I20200205002493 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 3870735053 Reassigns benefits to 2 organizations
I20240528001131 ID Practitioner - Certified Registered Nurse Anesthetist (Crna) 3870735053 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Oregon Health Sciences University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adams County Public Hospital District 2Group PAC ID 8022906122, shared by 2 NPIs, 14 clinicians

Practice addresses (Care Compare)

903 S Adams St
Ritzville, WA 99169-2227
Phone (509) 659-1200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
AP60438100WAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Doug S Clouse MD PLC CurrentSince Jan 6, 2020 Accepting new patients
Doug S Clouse MD PLC CurrentSince Jan 6, 2020 Accepting new patients
Integrated Anesthesia Consultants PLC CurrentSince Feb 18, 2021 Accepting new patients
Evergreen Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2021 Accepting new patients
Pacific County Hospital District 2 CurrentSince Aug 1, 2024 Accepting new patients
Adams County Hospital 2 CurrentSince Nov 16, 2024 Accepting new patients
Pacific County Hospital District 2 CurrentSince Aug 1, 2024 Accepting new patients
Boundary Community Hospital CurrentSince Jul 1, 2024 Accepting new patients
Boundary Community Hospital CurrentSince Jul 1, 2024 Accepting new patients
Adams County Public Hospital District 2 CurrentSince Nov 16, 2024 Accepting new patients
Portland Anesthesia Specialists LLC Past Accepting new patients
Boundary Community Hospital Past Accepting new patients
Adams County Hospital 2 Past Accepting new patients

Locations

2450 S Gilbert Rd
Ste 109
Chandler, AZ 85286

3615 S Rome St
Gilbert, AZ 85297
Phone (480) 245-4425

3636 N Stockton Hill Rd
Ste 3
Kingman, AZ 86409

6640 Kaniksu St
Bonners Ferry, ID 83805
Phone (208) 267-3141

903 S Adams St
Ritzville, WA 99169
Phone (509) 659-1200

1016 Tacoma Ave
Sunnyside, WA 98944
Phone (509) 823-6682

Interoperability endpoints

  • Direct secure messaging: austin.miner.p1@direct.ritzville.nextgenshare.com

Organizations & group practices 15

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 15

Hospital & facility affiliations 2

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": "1294012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1134423361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 S ADAMS ST",
            "city": "RITZVILLE",
            "state": "WA",
            "postal_code": "991692227",
            "telephone_number": "509-659-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 S ADAMS ST",
            "city": "RITZVILLE",
            "state": "WA",
            "postal_code": "991692227",
            "telephone_number": "509-659-1200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1015 NW 22nd Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972103025",
            "country_code": "US",
            "telephone_number": "503-413-6008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINER",
        "first_name": "AUSTIN",
        "middle_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-03",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "235000",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "AP60438100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ritzville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.