Active NPI
Elevate Anesthesia LLC
- Certified Registered Nurse Anesthetist
- Sheridan, WY
National Provider Identifier
1194347252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Legal business name
- ELEVATE ANESTHESIA LLC
- Practice address
- 1524 W 5TH St
Sheridan, WY 82801-2707 - Phone
- (307) 672-7874
- NPI assigned
- May 12, 2020
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Amber Dawn Knuths, CRNA
- Title
- Owner
- Phone
- (406) 647-9622
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Gillette, WY
- NPI 1548794340
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200521000759 | WY | Part B Supplier - Clinic/Group Practice | 6002247384 |
Receives reassigned benefits from 1 practitioner Practice locations: Sheridan, WY |
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1524 W 5TH St
Sheridan, WY 82801-2707
Mailing address
PO Box 3514
Idaho Falls, ID 83403-3514
Phone (208) 525-2090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 13, 2020.
{
"created_epoch": "1589241600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1589328000000",
"number": "1194347252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3514",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834033514",
"telephone_number": "208-525-2090",
"fax_number": "208-523-8978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1524 W 5TH ST",
"city": "SHERIDAN",
"state": "WY",
"postal_code": "828012707",
"telephone_number": "307-672-7874"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELEVATE ANESTHESIA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-12",
"last_updated": "2020-05-13",
"certification_date": "2020-05-13",
"status": "A",
"authorized_official_last_name": "KNUTHS",
"authorized_official_first_name": "AMBER",
"authorized_official_middle_name": "DAWN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "406-647-9622",
"authorized_official_credential": "CRNA"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sheridan, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; 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.