Renee Marie Carlson, C.R.N.A.

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

148002030 Issued in WI

Practice address

425 Pine Ridge Blvd Ste 211
Wausau, WI 54401-4123

Phone

(715) 845-5505

Fax

(715) 848-2884

NPI assigned

Nov 17, 2008

Last updated

Aug 25, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sauk Prairie Healthcare IncGroup PAC ID 8224948054, 122 clinicians

SSM Health Care of Wisconsin IncGroup PAC ID 8527977867, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Drift Away Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Madison, WI
  • NPI 1093165094

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD Authorized official
• Sauk Prairie Healthcare Inc

  • Certified Registered Nurse Anesthetist
  • Prairie Du Sac, WI
  • NPI 1396884474

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• SSM Health Care of Wisconsin, Inc.

  dba SSM Health St. Mary's Hospital-Madison

  • General Acute Care Hospital
  • Madison, WI
  • NPI 1184621211
  Medicare reassignment Care Compare group NPD
• Sauk Prairie Healthcare, Inc.

  dba Prairie Clinic

  • Family Medicine Physician
  • Sauk City, WI
  • NPI 1235163494
  NPD
• SSM Health Care of Wisconsin Inc

  • Certified Registered Nurse Anesthetist
  • Baraboo, WI
  • NPI 1336120401

  Nurse Anesthetist, Certified Registered

  NPD
• SSM Health Care of Wisconsin, Inc.

  dba SSM Health St. Mary's Hospital - Janesville

  • General Acute Care Hospital
  • Janesville, WI
  • NPI 1194004408
  NPD

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

{
    "created_epoch": "1226880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251158400000",
    "number": "1356596415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 PINE RIDGE BLVD STE 211",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014123",
            "telephone_number": "715-845-5505",
            "fax_number": "715-848-2884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 PINE RIDGE BLVD STE 211",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014123",
            "telephone_number": "715-845-5505",
            "fax_number": "715-848-2884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "RENEE",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "C.R.N.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-17",
        "last_updated": "2009-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WI",
            "license": "148002030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WPS MEDICARE",
            "identifier": "213050061",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356596415",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dennis M Carey
• David Carli
• Benjamin Joseph Carlisle, DC
• Benjamin Carlson
• Diane Carlson
• Sharon A Carlsson, RN
• Amy Elizabeth Carlton, M.S. CCC-SLP
• John E Carroll Jr., MD
• Carina Santos Carter
• Tanya Ann Casar, LCSW

• Certified Registered Nurse Anesthetist in Wausau, WI
• Providers in Wausau, WI by specialty
• Certified Registered Nurse Anesthetist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2009; 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.