Individual provider Active NPI

Ethan Seyer, CRNA

  • Certified Registered Nurse Anesthetist
  • Perryville, MO
National Provider Identifier
1295576247
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
2024020249 Issued in MO
Practice address
434 N West St
Perryville, MO 63775-1359
Phone
(573) 547-2536
NPI assigned
Jun 4, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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 2024020249 MO Primary

Addresses

Primary practice location

434 N West St
Perryville, MO 63775-1359

Mailing address

16155 State Highway D
Oak Ridge, MO 63769-5202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, NE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240821000147 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 4688112782 Reassigns benefits to 3 organizations
I20241024004193 NE Practitioner - Certified Registered Nurse Anesthetist (Crna) 4688112782 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grand Island Regional Medical CenterGroup PAC ID 0143659508, 29 clinicians
Midwest Anesthesia Providers SCGroup PAC ID 9830480581, 180 clinicians
Mercy Hospital PerryGroup PAC ID 1153777826, 115 clinicians

Practice addresses (Care Compare)

3533 Prairieview St
Grand Island, NE 68803-4409
Phone (308) 675-5000

400 Parkland Dr
Farmington, MO 63640-2906
Phone (573) 756-8000

434 N W St
Perryville, MO 63775-1359
Phone (573) 547-2536

Hospital & facility affiliations

  • Grand Island Regional Medical Center Hospital, Grand Island, NE, CCN 280139
  • Parkland Health Center Hospital, Farmington, MO, CCN 260163
  • Mercy Hospital Perry Hospital, Perryville, MO, CCN 261311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Perry CurrentSince Jul 22, 2024 Accepting new patients
Mercy Hospital Perry CurrentSince Jul 22, 2024 Accepting new patients
Associated Anesthesiologists PC CurrentSince Oct 17, 2024 Accepting new patients
Grand Island Regional Medical Center Nurse Anesthetist, Certified Registered CurrentSince Jul 25, 2025 Accepting new patients
Midwest Anesthesia Providers S.C Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2025 Accepting new patients
Grand Island Regional Medical Center Past Accepting new patients

Locations

400 Parkland Dr
Farmington, MO 63640
Phone (303) 755-3201

1101 W Liberty St
Farmington, MO 63640
Phone (573) 705-1272

434 N West St
Perryville, MO 63775
Phone (573) 547-2530

3533 Prairieview St
Grand Island, NE 68803
Phone (308) 675-4557

1600 S 48th St
Lincoln, NE 68506
Phone (402) 481-9049

2900 S 70th St
Ste 250
Lincoln, NE 68506
Phone (402) 489-4186

265 Brookview Centre Way
Ste 203
Knoxville, TN 37919
Phone (865) 500-1254

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1717459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1295576247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16155 STATE HIGHWAY D",
            "city": "OAK RIDGE",
            "state": "MO",
            "postal_code": "637695202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 N WEST ST",
            "city": "PERRYVILLE",
            "state": "MO",
            "postal_code": "637751359",
            "telephone_number": "573-547-2536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEYER",
        "first_name": "ETHAN",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-06-04",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "2024020249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perryville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.