Chelsey Diana Wyatt, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

R43972 Issued in ND

Practice address

2975 Highway 2 E
Rugby, ND 58368-7801

Phone

(701) 776-5261

Fax

(701) 776-5448

NPI assigned

Nov 11, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Chelsey Diana Zimmerman Former name

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Good Samaritan Hospital Association

  • Critical Access Hospital
  • Rugby, ND
  • NPI 1437258969
  Medicare reassignment NPD
• Good Samaritan Hospital Association

  • Emergency Medicine Physician
  • Rugby, ND
  • NPI 1588751325
  Medicare reassignment NPD
• Northwest Dakota Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Minot, ND
  • NPI 1023899234
  Medicare reassignment NPD
• St Aloisius Hospital Inc

  • Critical Access Hospital
  • Harvey, ND
  • NPI 1457477218
  Medicare reassignment NPD
• St Aloisius Hospital Inc

  • Medicare Defined Swing Bed Hospital Unit
  • Harvey, ND
  • NPI 1639296007
  NPD

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

{
    "created_epoch": "1478822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1225570930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2975 HIGHWAY 2 E",
            "city": "RUGBY",
            "state": "ND",
            "postal_code": "583687801",
            "telephone_number": "701-776-5261",
            "fax_number": "701-776-5448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2975 HIGHWAY 2 E",
            "city": "RUGBY",
            "state": "ND",
            "postal_code": "583687801",
            "telephone_number": "701-776-5261",
            "fax_number": "701-776-5448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYATT",
        "first_name": "CHELSEY",
        "middle_name": "DIANA",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-11",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R 201735-0",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "219149-30",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ND",
            "license": "R43972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSEY",
            "last_name": "ZIMMERMAN",
            "middle_name": "DIANA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jenna Leigh Thompson, FNP-C
• Jeffrey Lee Vaagen, MD
• Meryle J Vinje, MS
• Tabitha Welk, LICSW
• White Drug Co of Jamestown Inc
• Peter Wyatt
• Christy Zinck

• Certified Registered Nurse Anesthetist in Rugby, ND
• Providers in Rugby, ND by specialty
• Certified Registered Nurse Anesthetist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; 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.

Verify at the official NPI Registry.