Active NPI
Robert Matt Cline, CRNA
- Certified Registered Nurse Anesthetist
- Tacoma, WA
National Provider Identifier
1346401833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP60524188
- Practice address
- 3209S 23Rd St 340
Tacoma, WA 98405-1602 - Phone
- (253) 503-2598
- Fax
- (253) 404-0506
- NPI assigned
- Jun 18, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | AP60524188 | WA | Primary |
Addresses
Primary practice location
3209S 23Rd St 340
Tacoma, WA 98405-1602
Mailing address
3209 S 23Rd St Ste 340
Tacoma, WA 98405-1602
Phone (253) 503-2598
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8053236 | Medicaid | NC | |
| G8944391 | Other | WA | MDCR PTAN (K) |
| G8960778 | Other | WA | MDCR PTAN (P) |
| NAN849 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7220 Commons Cir
Cheyenne, WY 82009-2673
Phone (307) 635-4141
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Platte County Hospital | Current | Accepting new patients | |
| Community Hospital | Current | Accepting new patients | |
| Frontier Anesthesia LLC | Current | Accepting new patients | |
| The Charlotte-Mecklenburg Hospital Authority | Past | Accepting new patients | |
| Grand Anesthesiology Services PC | Past | Accepting new patients |
Locations
7220 Commons Cir
Cheyenne, WY 82009
Phone (307) 635-4141
2000 Campbell Dr
Torrington, WY 82240
Phone (307) 532-4181
201 14th St
Wheatland, WY 82201
Phone (307) 322-3636
Organizations & group practices 5
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.
-
- Anesthesiologist Assistant
- Cheyenne, WY
- NPI 1568815843
-
- Critical Access Hospital
- Torrington, WY
- NPI 1669410643
-
- Critical Access Hospital
- Guernsey, WY
- NPI 1265469506
-
- Anesthesiology Physician
- Jackson, WY
- NPI 1477567246
-
- General Practice Physician
- Charlotte, NC
- NPI 1477627388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483574400000",
"number": "1346401833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3209 S 23RD ST STE 340",
"city": "TACOMA",
"state": "WA",
"postal_code": "984051602",
"telephone_number": "253-503-2598",
"fax_number": "253-404-0506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3209S 23RD ST 340",
"city": "TACOMA",
"state": "WA",
"postal_code": "984051602",
"telephone_number": "253-503-2598",
"fax_number": "253-404-0506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLINE",
"first_name": "ROBERT",
"middle_name": "MATT",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-18",
"last_updated": "2017-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WA",
"license": "AP60524188",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8053236",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDCR PTAN (K)",
"identifier": "G8944391",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDCR PTAN (P)",
"identifier": "G8960778",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NAN849",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; 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.