Individual provider Active NPI

Bryan D McCarvel, CRNA

  • Certified Registered Nurse Anesthetist
  • Richland Center, WI
National Provider Identifier
1306947460
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
142022 Issued in WI
Practice address
333 E 2ND St
Richland Center, WI 53581-1914
Phone
(608) 647-6321
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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 142022 WI Primary

Addresses

Primary practice location

333 E 2ND St
Richland Center, WI 53581-1914

Mailing address

591 N Central Ave
Richland Center, WI 53581-1702
Phone (608) 449-9532

Other practice location 1

400 Water Ave
Hillsboro, WI 54634-9054
Phone (608) 489-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040116000034 WI Practitioner - Certified Registered Nurse Anesthetist (Crna) 0042111775 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richland HospitalGroup PAC ID 7618861618, 69 clinicians
St Josephs Health Services IncGroup PAC ID 3971586439, shared by 5 NPIs, 71 clinicians

Practice addresses (Care Compare)

333 E 2ND St
Richland Center, WI 53581-1914
Phone (608) 647-6321

400 Water Ave
Hillsboro, WI 54634-9054
Phone (608) 489-8000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
142022WIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Richland Hospital CurrentSince Dec 1, 2011 Accepting new patients
Tomah Memorial Hospital Inc CurrentSince Jan 1, 2022 Accepting new patients
Tomah Memorial Hospital Inc CurrentSince Jan 1, 2022 Accepting new patients
St. Joseph'S Health Services, Inc. CurrentSince Aug 15, 2019 Accepting new patients
St. Joseph'S Health Services, Inc. CurrentSince Aug 15, 2019 Accepting new patients
St. Joseph'S Health Services, Inc. Current Accepting new patients
Richland Hospital CurrentSince Dec 1, 2011 Accepting new patients
Sangamon Associated Anesthesiologists, S.C. Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

333 E 2nd St
Richland Ctr, WI 53581
Phone (608) 647-6161

501 Gopher Dr
Tomah, WI 54660
Phone (608) 371-2181

Organizations & group practices 8

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 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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1306947460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "591 N CENTRAL AVE",
            "city": "RICHLAND CENTER",
            "state": "WI",
            "postal_code": "535811702",
            "telephone_number": "608-449-9532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E 2ND ST",
            "city": "RICHLAND CENTER",
            "state": "WI",
            "postal_code": "535811914",
            "telephone_number": "608-647-6321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Water Ave",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "WI",
            "postal_code": "546349054",
            "country_code": "US",
            "telephone_number": "608-489-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCARVEL",
        "first_name": "BRYAN",
        "middle_name": "D",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WI",
            "license": "142022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland Center, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; 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.