Dana Wolak Detwiler

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

AP60824100 Issued in WA

Practice address

1550 N 115TH St
Seattle, WA 98133

Phone

(206) 364-0500

NPI assigned

Sep 14, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Dana Michelle Wolak Former name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cep America - Anesthesia PCGroup PAC ID 3678897915, 849 clinicians

Parish Anesthesia of California a Professional Medical CorporationGroup PAC ID 0244463925, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Medical Center Redding Hospital, Redding, CA, CCN 050280

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Cep America - Anesthesia, PC

  • Anesthesiology Physician
  • Walnut Creek, CA
  • NPI 1790401438
  Medicare reassignment Care Compare group NPD
• Parish Anesthesia of California, a Professional Medical Corporation

  • Anesthesiology Physician
  • Mount Shasta, CA
  • NPI 1790106862

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Siskiyou Hospital, Inc.

  • Critical Access Hospital
  • Yreka, CA
  • NPI 1093892275
  Medicare reassignment NPD
• Cep America - Anesthesia PC

  • Anesthesiology Physician
  • Redding, CA
  • NPI 1013561851
  NPD
• Cep America - Anesthesia PC

  • Anesthesiology Physician
  • Langhorne, PA
  • NPI 1093678229
  NPD
• Siskiyou Hospital, Inc.

  • Critical Access Hospital
  • Yreka, CA
  • NPI 1952701369
  NPD
• Cep America - Anesthesia PC

  • Anesthesiology Physician
  • Fremont, CA
  • NPI 1982009759
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dignity Health

  • General Acute Care Hospital
  • Redding, CA
  • NPI 1477671535
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534377600000",
    "number": "1275901738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4125 50TH AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981181234",
            "telephone_number": "248-250-3704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 N 115TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98133",
            "telephone_number": "206-364-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETWILER",
        "first_name": "DANA",
        "middle_name": "WOLAK",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-14",
        "last_updated": "2018-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60454845",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "201503625RN",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "AP60824100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275901738",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANA",
            "last_name": "WOLAK",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Barbara J. Detering, M.D.
• Ann R. Determan, RC
• Jana Kathleen Detrick, MA
• Malia Winona Dettori, DPT
• Susan E Detweiler, MD
• Daryl Jay Detwiler, DDS
• Elaine Esther Detwiler, RN
• Mark Detwiler, R.N.
• Alan Robert Deubner, DDS
• Heike Deubner, MD

• Certified Registered Nurse Anesthetist in Seattle, WA
• Providers in Seattle, WA by specialty
• Certified Registered Nurse Anesthetist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; 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.