Individual provider Active NPI

Amanda Raye Zuck, CRNA

  • Certified Registered Nurse Anesthetist
  • Gillette, WY
National Provider Identifier
1285972737
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
23443.1224 Issued in WY
Practice address
3100 W Lakeway Rd Ste 3
Gillette, WY 82718-6373
Phone
(307) 682-7819
NPI assigned
Jan 17, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 23443.1224 WY Primary
Certified Registered Nurse Anesthetist 367500000X R31539 ND

Addresses

Primary practice location

3100 W Lakeway Rd Ste 3
Gillette, WY 82718-6373

Mailing address

212 E Tonk St
Gillette, WY 82718-5884
Phone (307) 670-2784

Other practice location 1

2305 37th Ave SW
Minot, ND 58701-7669
Phone (701) 857-5000

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, MT, ND3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20130627000724 WY Practitioner - Certified Registered Nurse Anesthetist (Crna) 5092955807 Reassigns benefits to 2 organizations
I20170901002639 MT Practitioner - Certified Registered Nurse Anesthetist (Crna) 5092955807 Reassigns benefits to 4 organizations
I20190306000544 ND Practitioner - Certified Registered Nurse Anesthetist (Crna) 5092955807 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holy Rosary HealthcareGroup PAC ID 8921045667, shared by 5 NPIs, 49 clinicians

Practice addresses (Care Compare)

2600 Wilson St
Miles City, MT 59301-5094
Phone (406) 233-2600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R31539NDMDCertified Registered Nurse Anesthetist
23443.1224WYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Home Care CurrentSince Feb 20, 2019 Accepting new patients
Glendive Medical Center, Inc CurrentSince Feb 1, 2026 Accepting new patients
Glendive Medical Center, Inc CurrentSince Feb 1, 2026 Accepting new patients
Trinity Health Current Accepting new patients
Mercy Medical Center Nurse Anesthetist, Certified Registered CurrentSince Feb 20, 2019 Accepting new patients
Trinity Health CurrentSince Oct 31, 2019 Accepting new patients
Campbell County Hospital District CurrentSince Jan 1, 2021 Accepting new patients
Trinity Health CurrentSince Oct 31, 2019 Accepting new patients
Glendive Medical Center, Inc CurrentSince Feb 1, 2026 Accepting new patients
Holy Rosary Healthcare CurrentSince Sep 25, 2017 Accepting new patients
Holy Rosary Healthcare CurrentSince Jan 1, 2026 Accepting new patients
Holy Rosary Healthcare CurrentSince Sep 25, 2017 Accepting new patients
Mercy Medical Center Current Accepting new patients
Campbell County Hospital District CurrentSince Jan 1, 2021 Accepting new patients
Campbell County Hospital District Current Accepting new patients
Campbell County Hospital District Current Accepting new patients
Cloud Peak Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2022 Accepting new patients

Locations

3369 Solutions Ctr
Chicago, IL 60677

2720 Dundee Rd
Northbrook, IL 60062
Phone (224) 226-5222

202 Prospect Dr
Glendive, MT 59330
Phone (406) 345-3306

2600 Wilson St
Miles City, MT 59301
Phone (406) 233-2500

101 3rd Ave SW
Minot, ND 58701
Phone (701) 857-5286

2305 37th Ave SW
Minot, ND 58701
Phone (701) 418-8550

1 Burdick Expy W
Minot, ND 58701
Phone (701) 857-5124

1301 15th Ave W
Williston, ND 58801
Phone (701) 774-7400

1307 W 3rd St
Ste B
Gillette, WY 82716
Phone (307) 686-8283

501 S Burma Ave
Gillette, WY 82716
Phone (307) 682-8811

Organizations & group practices 19

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 19

Hospital & facility affiliations 1

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": "1358380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1285972737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 E TONK ST",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827185884",
            "telephone_number": "307-670-2784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 W LAKEWAY RD STE 3",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827186373",
            "telephone_number": "307-682-7819"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2305 37th Ave SW",
            "address_purpose": "LOCATION",
            "city": "Minot",
            "state": "ND",
            "postal_code": "587017669",
            "country_code": "US",
            "telephone_number": "701-857-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZUCK",
        "first_name": "AMANDA",
        "middle_name": "RAYE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-17",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WY",
            "license": "23443.1224",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ND",
            "license": "R31539",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gillette, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; 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.