Individual provider Active NPI

Parry Davison, CRNA

  • Certified Registered Nurse Anesthetist
  • Kemmerer, WY
National Provider Identifier
1316376189
Registry record updated Nov 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
17449.0291 Issued in WY
Practice address
711 Onyx St
Kemmerer, WY 83101-3214
Phone
(307) 877-4401
NPI assigned
Nov 2, 2013
Last updated
Nov 2, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 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 17449.0291 WY Primary

Addresses

Primary practice location

711 Onyx St
Kemmerer, WY 83101-3214

Mailing address

711 Onyx St
Kemmerer, WY 83101-3214
Phone (307) 877-4401

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140303001704 WY Practitioner - Certified Registered Nurse Anesthetist (Crna) 9830329374 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Hospital of Carbon CountyGroup PAC ID 9638067176, shared by 3 NPIs, 38 clinicians
Pain Care Center LLCGroup PAC ID 4385818681, 18 clinicians
Wind River Anesthesia PCGroup PAC ID 0840321105, 3 clinicians

Practice addresses (Care Compare)

2221 Elm St
Rawlins, WY 82301-5108
Phone (307) 324-2221

2620 Commercial Way
Suite 20
Rock Springs, WY 82901-4705
Phone (307) 212-6270

535 E Main St
Suite C
Lander, WY 82520-3424
Phone (307) 206-1303

Merit-based Incentive Payment System (MIPS)

Final score
86.39 of 100Reported as group
Quality
74.38
Promoting interoperability
99
Improvement activities
40
Cost
67.63

Merit-based Incentive Payment System (MIPS)

Final score
33.71 of 100Reported as group
Quality
39.66
Improvement activities
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17449.0291WYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Care Center, LLC CurrentSince Nov 20, 2013 Accepting new patients
Memorial Hospital of Carbon County CurrentSince Jun 3, 2024 Accepting new patients
Memorial Hospital of Carbon County Current Accepting new patients
Pain Care Center, LLC CurrentSince Nov 20, 2013 Accepting new patients
Memorial Hospital of Carbon County CurrentSince Jun 3, 2024 Accepting new patients
Wind River Anesthesia PC CurrentSince Jan 4, 2026 Accepting new patients

Locations

1441 Wilkins Cir
Casper, WY 82601
Phone (307) 265-1792

170 Arrowhead Dr
Ste 2
Evanston, WY 82930
Phone (307) 448-2753

15 Shrine Club Rd
Ste B
Lander, WY 82520
Phone (307) 335-7555

535 E Main St
Ste C
Lander, WY 82520
Phone (307) 206-1303

2221 Elm St
Rawlins, WY 82301
Phone (307) 324-2221

300 3rd St
Rawlins, WY 82301
Phone (307) 324-3403

2620 Commercial Way
Ste 20
Rock Springs, WY 82901
Phone 3072126270114

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.

NPI Registry JSON

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

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383350400000",
    "number": "1316376189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 ONYX ST",
            "city": "KEMMERER",
            "state": "WY",
            "postal_code": "831013214",
            "telephone_number": "307-877-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 ONYX ST",
            "city": "KEMMERER",
            "state": "WY",
            "postal_code": "831013214",
            "telephone_number": "307-877-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVISON",
        "first_name": "PARRY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-02",
        "last_updated": "2013-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WY",
            "license": "17449.0291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kemmerer, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.