Active NPI
Gregory Allan Niderost
- Certified Registered Nurse Anesthetist
- Willits, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1602
- Practice address
- 1 Madrone St
Willits, CA 95490-4225 - Phone
- (707) 456-3171
- NPI assigned
- Jan 5, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 1602 | CA | Primary |
Addresses
Primary practice location
1 Madrone St
Willits, CA 95490-4225
Mailing address
1 Madrone St
Willits, CA 95490-4225
Phone (707) 456-3171
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Marcela Dr
Willits, CA 95490-5769
Phone (707) 459-6801
3 Marcela Dr
Suite D
Willits, CA 95490-5769
Phone (707) 459-4220
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.41 of 100
- Quality
- 86.32
- Promoting interoperability
- 95
- Improvement activities
- 40
- Cost
- 66.55
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1602 | CA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ukiah Adventist Hospital | Current | Accepting new patients | |
| Willits Hospital Inc. | Current | Accepting new patients |
Locations
1 Madrone St
Willits, CA 95490
Phone (707) 456-3041
1 Marcela Dr
Willits, CA 95490
Phone (707) 456-3001
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.
-
dba Adventist Health Howard Memorial
- Critical Access Hospital
- Willits, CA
- NPI 1356339543
-
dba Adventist Health Howard Pharmacy
- Community/Retail Pharmacy
- Willits, CA
- NPI 1629432968
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Adventist Health Howard Memorial
- Critical Access Hospital
- Willits, CA
- NPI 1356339543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1255319679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MADRONE ST",
"city": "WILLITS",
"state": "CA",
"postal_code": "954904225",
"telephone_number": "707-456-3171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MADRONE ST",
"city": "WILLITS",
"state": "CA",
"postal_code": "954904225",
"telephone_number": "707-456-3171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIDEROST",
"first_name": "GREGORY",
"middle_name": "ALLAN",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-05",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "1602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Willits, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.