Active NPI
Gary Nilsson, CRNA
- Certified Registered Nurse Anesthetist
- Warwick, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RNA20382
- Practice address
- 455 Tollgate Rd
Warwick, RI 02886-2759 - Phone
- (401) 738-1516
- NPI assigned
- Oct 27, 2006
- Last updated
- Dec 6, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RNA20382 | RI | Primary |
Addresses
Primary practice location
455 Tollgate Rd
Warwick, RI 02886-2759
Mailing address
690 Canton Street
Suite 325
Westwood, MA 02090-2329
Phone (781) 407-7713
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NR40830 | Medicaid | RI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
444 Quaker LN
Warwick, RI 02886-0185
Phone (401) 935-1439
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ocean State Anesthesia Partners, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| University Gastroenterology, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Narragansett Bay Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Saint Vincent Physician Services, Inc. | Past | Accepting new patients | |
| Northern Rhode Island Anesthesia Associates, PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
690 Canton St
Ste 325
Westwood, MA 02090
Phone 7814077713307
1407 S County Trl
Ste 410
East Greenwich, RI 02818
Phone (401) 886-4040
1526 Atwood Ave
Ste 300
Johnston, RI 02919
Phone (401) 459-3800
110 Clock Tower Sq
Ste 100
Portsmouth, RI 02871
Phone (401) 293-5600
148 W River St
Providence, RI 02904
Phone (401) 421-6306
33 Staniford St
Providence, RI 02905
Phone (401) 274-1810
825 Chalkstone Ave
Providence, RI 02908
Phone (401) 456-2000
75 Newman Ave
Ste 100
Rumford, RI 02916
444 Quaker Ln
Warwick, RI 02886
Phone (401) 935-1439
455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Warwick, RI
- NPI 1861445728
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Warwick, RI
- NPI 1346575701
Nurse Anesthetist, Certified Registered
-
- Gastroenterology Physician
- Providence, RI
- NPI 1386952612
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Woonsocket, RI
- NPI 1124048905
Nurse Anesthetist, Certified Registered
-
- Family Medicine Physician
- Worcester, MA
- NPI 1013997329
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196899200000",
"number": "1285710988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "690 CANTON STREET",
"address_2": "SUITE 325",
"city": "WESTWOOD",
"state": "MA",
"postal_code": "020902329",
"telephone_number": "781-407-7713",
"fax_number": "781-451-0998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 TOLLGATE RD",
"city": "WARWICK",
"state": "RI",
"postal_code": "028862759",
"telephone_number": "401-738-1516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NILSSON",
"first_name": "GARY",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-27",
"last_updated": "2007-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "RI",
"license": "RNA20382",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NR40830",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warwick, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; 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.