Individual provider Active NPI

David John Nelson, CRNA

  • Certified Registered Nurse Anesthetist
  • Miles City, MT
National Provider Identifier
1376695569
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
13933 Issued in MT
Practice address
2600 Wilson St
Miles City, MT 59301-5094
Phone
(406) 233-2745
Fax
(406) 233-4222
NPI assigned
Jan 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 13933 MT Primary

Addresses

Primary practice location

2600 Wilson St
Miles City, MT 59301-5094

Mailing address

1113 Pleasant St
Miles City, MT 59301-3519
Phone (406) 233-2745

Other identifiers 1

IdentifierTypeStateIssuer
0439010MedicaidMT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040701000635 MT Practitioner - Certified Registered Nurse Anesthetist (Crna) 9234121310 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holy Rosary HealthcareGroup PAC ID 8921045667, 49 clinicians

Practice addresses (Care Compare)

2600 Wilson St
Miles City, MT 59301-5094
Phone (406) 233-2600

Hospital & facility affiliations

  • Holy Rosary Hospital Hospital, Miles City, MT, CCN 271347

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13933MTMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Holy Rosary Healthcare CurrentSince Jan 1, 2026 Accepting new patients
Yellowstone Anesthesia Associates P.C. PastSince Jun 6, 1996 Accepting new patients

Locations

2600 Wilson St
Miles City, MT 59301
Phone (406) 233-2500

Organizations & group practices 3

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": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376695569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 PLEASANT ST",
            "city": "MILES CITY",
            "state": "MT",
            "postal_code": "593013519",
            "telephone_number": "406-233-2745",
            "fax_number": "406-233-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 WILSON ST",
            "city": "MILES CITY",
            "state": "MT",
            "postal_code": "593015094",
            "telephone_number": "406-233-2745",
            "fax_number": "406-233-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "DAVID",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MT",
            "license": "13933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0439010",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miles City, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.