Individual provider Active NPI

Geoffrey Duncklee, PHD, CRNA

  • Certified Registered Nurse Anesthetist
  • Ft Wainwright, AK
National Provider Identifier
1265417182
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R146328 Issued in MD
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

Updated by the provider on May 5, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R146328 MD
Registered Nurse 163W00000X 25231 AK
Certified Registered Nurse Anesthetist 367500000X RN202515 GA
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
25231AKMDRegistered Nurse
R146328MDMDRegistered Nurse
7472NCMDSpeech-Language Pathologist
RN202515GAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Western Carolina Sedation Associates, LLC Multi-Specialty CurrentSince Oct 1, 2024 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.

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.

Verify at the official NPI Registry.