Active NPI
Geoffrey Duncklee, PHD, CRNA
- Certified Registered Nurse Anesthetist
- Ft Wainwright, AK
National Provider Identifier
1265417182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R146328
- Practice address
- 1060 Gaffney Rd
Bassett Army Community Hospital
Ft Wainwright, AK 99703-5001 - Phone
- (907) 353-5418
- Fax
- (907) 353-4845
- NPI assigned
- Dec 13, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R146328 | MD | |
| Registered Nurse | 163W00000X | 25231 | AK | |
| Certified Registered Nurse Anesthetist | 367500000X | RN202515 | GA | |
| Certified Registered Nurse Anesthetist | 367500000X | R146328 | MD | Primary |
Addresses
Primary practice location
1060 Gaffney Rd
Bassett Army Community Hospital
Ft Wainwright, AK 99703-5001
Mailing address
2480 Llewellyn Ave
Fort George G Meade, MD 20755-7081
Phone (301) 677-8800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241217000702 | NC | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 9436562329 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25231 | AK | MD | Registered Nurse |
| R146328 | MD | MD | Registered Nurse |
| 7472 | NC | MD | Speech-Language Pathologist |
| RN202515 | GA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Carolina Sedation Associates, LLC | Multi-Specialty | Current | Accepting new patients |
Locations
415 N Center St
Ste 300
Hickory, NC 28601
Phone (828) 328-3300
Organizations & group practices 1
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.
-
- Certified Registered Nurse Anesthetist
- Hickory, NC
- NPI 1326669508
Multi-Specialty, NC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746403200000",
"number": "1265417182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2480 LLEWELLYN AVE",
"city": "FORT GEORGE G MEADE",
"state": "MD",
"postal_code": "207557081",
"telephone_number": "301-677-8800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1060 GAFFNEY RD",
"address_2": "BASSETT ARMY COMMUNITY HOSPITAL",
"city": "FT WAINWRIGHT",
"state": "AK",
"postal_code": "997035001",
"telephone_number": "907-353-5418",
"fax_number": "907-353-4845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNCKLEE",
"first_name": "GEOFFREY",
"name_prefix": "Dr.",
"credential": "PHD, CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-13",
"last_updated": "2025-05-05",
"certification_date": "2025-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MD",
"license": "R146328",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AK",
"license": "25231",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "RN202515",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MD",
"license": "R146328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ft Wainwright, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.