Active NPI
Cameron R Oliver, RN, CRNA
- Certified Registered Nurse Anesthetist
- Fargo, ND
National Provider Identifier
1215252929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R1815566
- Practice address
- 2101 Elm Street Fargo
Fargo, ND 58102 - Phone
- (701) 232-3241
- NPI assigned
- Apr 6, 2010
- 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 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 15699-NA | OH | |
| Certified Registered Nurse Anesthetist | 367500000X | 5721-33 | WI | |
| Certified Registered Nurse Anesthetist | 367500000X | D125794 | IA | |
| Certified Registered Nurse Anesthetist | 367500000X | APN0991084CRNA | CO | |
| Certified Registered Nurse Anesthetist | 367500000X | ARNP9289597 | FL | |
| Certified Registered Nurse Anesthetist | 367500000X | 683051 | NY | |
| Certified Registered Nurse Anesthetist | 367500000X | RN656096 | PA | |
| Certified Registered Nurse Anesthetist | 367500000X | AP125440 | TX | |
| Certified Registered Nurse Anesthetist | 367500000X | R1815566 | MN | Primary |
Addresses
Primary practice location
2101 Elm Street Fargo
Fargo, ND 58102
Mailing address
8808 Lost River Rd
Horace, ND 58047-9742
Phone (507) 226-1087
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ENROLLED | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5721 | WI | MD | Physical Therapist |
| APN0991084CRNA | CO | MD | Certified Registered Nurse Anesthetist |
| ARNP9289597 | FL | MD | Certified Registered Nurse Anesthetist |
| R1815566 | MN | MD | Certified Registered Nurse Anesthetist |
| 683051 | NY | MD | Certified Registered Nurse Anesthetist |
| 15699-NA | OH | MD | Certified Registered Nurse Anesthetist |
| RN656096 | PA | MD | Certified Registered Nurse Anesthetist |
| AP125440 | TX | MD | Certified Registered Nurse Anesthetist |
| 5721-33 | WI | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741564800000",
"number": "1215252929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8808 LOST RIVER RD",
"city": "HORACE",
"state": "ND",
"postal_code": "580479742",
"telephone_number": "507-226-1087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 ELM STREET FARGO",
"city": "FARGO",
"state": "ND",
"postal_code": "58102",
"telephone_number": "701-232-3241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVER",
"first_name": "CAMERON",
"middle_name": "R",
"credential": "RN, CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-06",
"last_updated": "2025-03-10",
"certification_date": "2025-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "15699-NA",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WI",
"license": "5721-33",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IA",
"license": "D125794",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CO",
"license": "APN0991084CRNA",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP9289597",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "683051",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN656096",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "AP125440",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "R1815566",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ENROLLED",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.