Jeremy Shane Bison, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

CRNA-01281 Issued in NM

Practice address

2430 W Pierce St
Carlsbad, NM 88220-3553

Phone

(318) 934-2242

NPI assigned

Nov 1, 2012

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM, TX2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Main Street Anesthesia of New Mexico, LLCGroup PAC ID 3476807538, 228 clinicians

Northstar Anesthesia III PAGroup PAC ID 0042630501, 393 clinicians

Northstar Anesthesia PAGroup PAC ID 7315907128, 231 clinicians

Northstar Anesthesia of New Mexico LLCGroup PAC ID 0648700666, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lubbock Heart Hospital LP Hospital, Lubbock, TX, CCN 450876
• Covenant Health Hobbs Hospital Hospital, Hobbs, NM, CCN 320065
• Eastern New Mexico Medical Center Hospital, Roswell, NM, CCN 320006

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Main Street Anesthesia of New Mexico, LLC

  • Anesthesiology Physician
  • Albuquerque, NM
  • NPI 1275010985
  Medicare reassignment Care Compare group NPD
• Northstar Anesthesia of New Mexico LLC

  • Anesthesiology Physician
  • Hobbs, NM
  • NPI 1710797949

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Northstar Anesthesia III PA

  • Anesthesiology Physician
  • Corpus Christi, TX
  • NPI 1356968952

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Northstar Anesthesia, PA

  • Anesthesiology Physician
  • Arlington, TX
  • NPI 1912978610

  NM, Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Dynamic Anesthesia Providers PLLC

  • Anesthesiology Physician
  • Houston, TX
  • NPI 1346752326

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Covenant Hospital Hobbs

  • General Acute Care Hospital
  • Hobbs, NM
  • NPI 1215534466
  Care Compare affiliation
• Roswell Hospital Corporation

  • General Acute Care Hospital
  • Roswell, NM
  • NPI 1447221742
  Care Compare affiliation
• Lubbock Heart Hospital, LLC

  • General Acute Care Hospital
  • Lubbock, TX
  • NPI 1922001775
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1351728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467331200000",
    "number": "1194079806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1547",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653021547",
            "telephone_number": "660-826-5960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 W PIERCE ST",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882203553",
            "telephone_number": "318-934-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISON",
        "first_name": "JEREMY",
        "middle_name": "SHANE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-01",
        "last_updated": "2016-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NM",
            "license": "CRNA-01281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78584051",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lithzia V Bernal, LMSW
• Lisa Bernard-Watts
• Lynda S. Bickerstaff, RN, MSN, CNS, CWOCN
• Bio-Medical Applications of New Mexico, Inc.
• Joyce E. Bird, M.A., CCC-SLP
• BL Mounce Counseling Services
• Merna G Black, LM, CPM
• Chera Blackmon
• Susan Blankenship, R.N., MSN., NP-C
• Danielray Moises Blea Smith, LCSW

• Certified Registered Nurse Anesthetist in Carlsbad, NM
• Providers in Carlsbad, NM by specialty
• Certified Registered Nurse Anesthetist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2016; 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.