Active NPI
Erik C Engen, CRNA
- Certified Registered Nurse Anesthetist
- Olympia, WA
National Provider Identifier
1144571175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP60308168
- Practice address
- 3900 Capital Mall Drive SW
Olympia, WA 98502-8654 - Phone
- (360) 956-2550
- NPI assigned
- Oct 1, 2012
- Sex
- Male
- Sole proprietor
- No
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 | AP60308168 | WA | Primary |
Addresses
Primary practice location
3900 Capital Mall Drive SW
Olympia, WA 98502-8654
Mailing address
1613 Harrison Pkwy
Suite 200
Sunrise, FL 33323-2896
Phone (954) 838-2371
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121128000346 | WA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 7719139625 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tahoma Anesthesiology Consultants PS | Past | Accepting new patients | |
| Sheridan Healthcare of Washington, PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Organizations & group practices 2
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
- Olympia, WA
- NPI 1386883775
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Olympia, WA
- NPI 1699723023
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349049600000",
"number": "1144571175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1613 HARRISON PKWY",
"address_2": "SUITE 200",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333232896",
"telephone_number": "954-838-2371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 CAPITAL MALL DRIVE SW",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985028654",
"telephone_number": "360-956-2550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGEN",
"first_name": "ERIK",
"middle_name": "C",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-01",
"last_updated": "2012-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WA",
"license": "AP60308168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olympia, WA
- Gregory Charles Endler, MFT
- Energy Employee Home Health Services, LLC
- Adam James Engel
- Dustin T Engelken, MD
- Michelle Marie Engelken, M.D.
- Rosemary Elaine Engle, D.D.S.
- Baylee Laurelle Engler
- Enlightenment Home Care LLC
- Enlightenment Non Medical Transportation LLC (Enlightenment Medical Transportation)
- Rommel Monillas Enriquez, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.