Individual provider Active NPI

Skyler W Murdock, CRNA

  • Certified Registered Nurse Anesthetist
  • Enumclaw, WA
National Provider Identifier
1235769829
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP61124025 Issued in WA
Practice address
1455 Battersby Ave
Enumclaw, WA 98022-3634
Phone
(844) 364-2778
Fax
(253) 985-6879
NPI assigned
Jan 22, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 55059 NM
Certified Registered Nurse Anesthetist 367500000X AP61124025 WA Primary

Addresses

Primary practice location

1455 Battersby Ave
Enumclaw, WA 98022-3634

Mailing address

1455 Battersby Ave
Enumclaw, WA 98022-3634
Phone (844) 364-2778

Other identifiers 1

IdentifierTypeStateIssuer
2172850MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address smurdock661183@fhsce.catholichealth.net Direct Franciscan Medical Group

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210302002042 WA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3375965544 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians

Practice addresses (Care Compare)

1450 Battersby Ave
Enumclaw, WA 98022-3634
Phone (253) 426-6341

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
55059NMMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Medical Group Current Accepting new patients
Franciscan Medical Group CurrentSince Feb 22, 2021 Accepting new patients
Rainier Anesthesia Associates PC CurrentSince Apr 25, 2024 Accepting new patients

Locations

1450 Battersby Ave
Enumclaw, WA 98022
Phone (206) 212-2116

1455 Battersby Ave
Enumclaw, WA 98022
Phone (253) 552-5615

1450 Battersby Ave
Enumclaw, WA 98022
Phone (360) 802-3243

34503 9th Ave S
Ste 130
Federal Way, WA 98003
Phone (253) 835-5340

17700 SE 272nd St
Kent, WA 98042
Phone (253) 372-6500

407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000

104 27th Ave SE
Puyallup, WA 98374
Phone (253) 770-4099

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

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": "1579651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1235769829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 BATTERSBY AVE",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980223634",
            "telephone_number": "844-364-2778",
            "fax_number": "253-985-6879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 BATTERSBY AVE",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980223634",
            "telephone_number": "844-364-2778",
            "fax_number": "253-985-6879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURDOCK",
        "first_name": "SKYLER",
        "middle_name": "W",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-22",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NM",
            "license": "55059",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "AP61124025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2172850",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smurdock661183@fhsce.catholichealth.net",
            "affiliation": "Y",
            "affiliationName": "Franciscan Medical Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1455 Battersby Ave",
            "city": "Enumclaw",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980223634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Enumclaw, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; 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.