Individual provider Active NPI

Kurt L Rayhorn, CRNA

  • Certified Registered Nurse Anesthetist
  • Eau Claire, WI
National Provider Identifier
1235487158
Registry record updated Aug 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
155347-30 Issued in WI
Practice address
1101 W Clairemont Ave
Ste 2C
Eau Claire, WI 54701-4503
Phone
(715) 834-8721
Fax
(715) 834-3087
NPI assigned
Aug 27, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2012

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 155347-30 WI Primary

Addresses

Primary practice location

1101 W Clairemont Ave
Ste 2C
Eau Claire, WI 54701-4503

Mailing address

1101 W Clairemont Ave
Ste 2C
Eau Claire, WI 54701-4503
Phone (715) 834-8721

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121127000650 WI Practitioner - Certified Registered Nurse Anesthetist (Crna) 2769633643 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chippewa Valley Anesthesia Associates, S.C.Group PAC ID 8325451941, 28 clinicians

Practice addresses (Care Compare)

1000 Oakleaf Way
Altoona, WI 54720-2246
Phone (800) 063-5619

Hospital & facility affiliations

  • Oakleaf Surgical Hospital Hospital, Altoona, WI, CCN 520196

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
155347-30WIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Chippewa Valley Anesthesia Associates, S.C. CurrentSince Jul 17, 2023 Accepting new patients
Central Wisconsin Anesthesiology CurrentSince Dec 7, 2020 Accepting new patients
Eau Claire Anesthesiologists LTD Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

1000 Oakleaf Way
Altoona, WI 54720
Phone (715) 831-8130

1101 W Clairemont Ave
Ste 2C
Eau Claire, WI 54701
Phone (715) 834-8721

425 Pine Ridge Blvd
Ste 21
Wausau, WI 54401

333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160

425 Pine Ridge Blvd
Ste 211
Wausau, WI 54401
Phone (715) 845-5505

Organizations & group practices 3

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": "1346025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346025600000",
    "number": "1235487158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 W CLAIREMONT AVE",
            "address_2": "STE 2C",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547014503",
            "telephone_number": "715-834-8721",
            "fax_number": "715-834-3087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 W CLAIREMONT AVE",
            "address_2": "STE 2C",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547014503",
            "telephone_number": "715-834-8721",
            "fax_number": "715-834-3087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYHORN",
        "first_name": "KURT",
        "middle_name": "L",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-27",
        "last_updated": "2012-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WI",
            "license": "155347-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; 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.