Individual provider Active NPI

Don A Ray, CRNA

  • Certified Registered Nurse Anesthetist
  • Tell City, IN
National Provider Identifier
1306185905
Registry record updated Feb 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3007891 Issued in KY
Practice address
1 Hospital Rd
Tell City, IN 47586-2750
Phone
(800) 737-7011
Fax
(812) 547-0174
NPI assigned
Feb 4, 2013
Last updated
Feb 4, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2013

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 3007891 KY Primary

Addresses

Primary practice location

1 Hospital Rd
Tell City, IN 47586-2750

Mailing address

1020 N Main St
Beaver Dam, KY 42320-1553
Phone (270) 274-0480

Other identifiers 2

IdentifierTypeStateIssuer
3007891OtherKYAPRN LICENSE
1082340OtherKYRN LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130216000020 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 7416101654 Reassigns benefits to 1 organization
I20130218000471 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 7416101654 Reassigns benefits to 1 organization

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
Mid-South Anesthesia, PLLCGroup PAC ID 3173779188, 11 clinicians

Practice addresses (Care Compare)

2620 Wilhite Dr
Lexington, KY 40503-3385
Phone (859) 278-6031

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3007891KYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 25, 2020 Accepting new patients
Anesthesia Care Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 17, 2014 Accepting new patients
Mid-South Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2023 Accepting new patients
Digestive Care of Evansville PC PastSince Mar 17, 2014 Accepting new patients

Locations

4411 Washington Ave
Ste 100
Evansville, IN 47714
Phone (313) 637-9861

801 Saint Marys Dr
Ste 205
Evansville, IN 47714
Phone (812) 477-6103

801 Saint Marys Dr
Ste 205W
Evansville, IN 47714
Phone (812) 477-6103

647 2nd St
Ste A
Jasper, IN 47546
Phone (812) 266-2933

2620 Wilhite Dr
Lexington, KY 40503
Phone (859) 278-6031

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359936000000",
    "number": "1306185905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 N MAIN ST",
            "city": "BEAVER DAM",
            "state": "KY",
            "postal_code": "423201553",
            "telephone_number": "270-274-0480",
            "fax_number": "270-274-0482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL RD",
            "city": "TELL CITY",
            "state": "IN",
            "postal_code": "475862750",
            "telephone_number": "800-737-7011",
            "fax_number": "812-547-0174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "DON",
        "middle_name": "A",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-04",
        "last_updated": "2013-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "3007891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "3007891",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "1082340",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tell City, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; 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.