NPIMap

Individual provider Active NPI

Eric Cy Mathison, CRNA

  • Certified Registered Nurse Anesthetist
  • Omak, WA
National Provider Identifier
1265743645
Registry record updated Sep 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN60158699 Issued in WA
Practice address
810 Jasmine St
Omak, WA 98841-9578
Phone
(509) 826-1760
NPI assigned
Jun 30, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2015

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 RN60158699 WA Primary

Addresses

Primary practice location

810 Jasmine St
Omak, WA 98841-9578

Mailing address

810 Jasmine St
Omak, WA 98841-9578
Phone (509) 826-1760

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100921000867 WA Practitioner - Certified Registered Nurse Anesthetist (Crna) 9638294101 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

520 N 4TH Ave
Pasco, WA 99301-5257
Phone (509) 547-7704

810 Jasmine St
Omak, WA 98841-9578
Phone (509) 826-1760

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN60158699WAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Okanogan County Public Hospital Dist No 4 CurrentSince Oct 9, 2019 Accepting new patients
Okanogan County Public Hospital Dist No 4 Current Accepting new patients
Okanogan Douglas County Hospital Dist 1 CurrentSince Mar 1, 2020 Accepting new patients
Okanogan Valley Anesthesia Center for Pain Management PLLC Nurse Anesthetist, Certified Registered CurrentSince Nov 4, 2020 Accepting new patients
Chelan County Public Hospital District No 2 Current Accepting new patients
Okanogan County Public Hospital District No. 3 CurrentSince May 1, 2015 Accepting new patients
Okanogan County Public Hospital Dist No 4 CurrentSince Oct 9, 2019 Accepting new patients
Okanogan Douglas County Hospital Dist1 CurrentSince Mar 1, 2020 Accepting new patients
Chelan County Public Hospital District No 2 CurrentSince Mar 1, 2024 Accepting new patients
Chelan County Public Hospital Dist No 2 CurrentSince Mar 1, 2024 Accepting new patients
Providence Wa Anesthesia Services, P.C. Past Accepting new patients
Okanogan Douglas County Hospital Dist 1 Past Accepting new patients

Locations

3301 S 14th St
Ste 16180
Abilene, TX 79605

110 S Apple Blossom Dr
Chelan, WA 98816
Phone (509) 682-3300

208 S Main St
Omak, WA 98841
Phone (509) 429-9521

810 Jasmine St
Omak, WA 98841
Phone (509) 826-1760

203 S Western Ave
Tonasket, WA 98855
Phone (509) 486-2151

126 S Whitcomb Ave
Tonasket, WA 98855
Phone (509) 486-2151

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 3

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": "1277856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441843200000",
    "number": "1265743645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 JASMINE ST",
            "city": "OMAK",
            "state": "WA",
            "postal_code": "988419578",
            "telephone_number": "509-826-1760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 JASMINE ST",
            "city": "OMAK",
            "state": "WA",
            "postal_code": "988419578",
            "telephone_number": "509-826-1760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHISON",
        "first_name": "ERIC",
        "middle_name": "CY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-30",
        "last_updated": "2015-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "RN60158699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omak, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; 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.