Individual provider Active NPI

Greggory Charles Sutton, CRNA, DNP

  • Certified Registered Nurse Anesthetist
  • West Des Moines, IA
National Provider Identifier
1205101631
Registry record updated Jun 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
D120200 Issued in IA
Practice address
5901 Westown Pkwy
Suite 210
West Des Moines, IA 50266-8218
Phone
(515) 221-9222
NPI assigned
Mar 19, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X D120200 IA Primary

Addresses

Primary practice location

5901 Westown Pkwy
Suite 210
West Des Moines, IA 50266-8218

Mailing address

5901 Westown Pkwy
Suite 210
West Des Moines, IA 50266-8218
Phone (515) 221-9222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140811002820 IA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8729205976 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
University of Iowa, RJ & L Carver College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Iowa PLCGroup PAC ID 3476443524, 6 clinicians

Practice addresses (Care Compare)

404 Jefferson St
Pella, IA 50219-1257
Phone (641) 628-6634

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
D120200IAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Iowa PLC CurrentSince Feb 1, 2016 Accepting new patients
Metro Anesthesia & Pain Mngmt LLP Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

404 Jefferson St
Pella, IA 50219
Phone (641) 628-3150

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.

Hospital & facility affiliations 1

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": "1332115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403827200000",
    "number": "1205101631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 WESTOWN PKWY",
            "address_2": "SUITE 210",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668218",
            "telephone_number": "515-221-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 WESTOWN PKWY",
            "address_2": "SUITE 210",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668218",
            "telephone_number": "515-221-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "GREGGORY",
        "middle_name": "CHARLES",
        "credential": "CRNA, DNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-19",
        "last_updated": "2014-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IA",
            "license": "D120200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2014; 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.