Individual provider Active NPI

Scott W Wettig, CRNA-ACNP

  • Certified Registered Nurse Anesthetist
  • Troy, NY
National Provider Identifier
1396707394
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
526330-1 Issued in NY
Practice address
2215 Burdett Avenue
Troy, NY 12180-2466
Phone
(518) 271-3300
Fax
(515) 525-6545
NPI assigned
Apr 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 526330 NY
Acute Care Nurse Practitioner 363LA2100X F431089-1 NY
Certified Registered Nurse Anesthetist 367500000X 526330-1 NY Primary

Addresses

Primary practice location

2215 Burdett Avenue
Troy, NY 12180-2466

Mailing address

258 Ushers Rd Ste 204
Clifton Park, NY 12065-1427
Phone (518) 221-2521

Other practice location 1

99 E State St
Gloversville, NY 12078-1203
Phone (518) 773-5758

Other practice location 2

1072 Troy Schenectady Rd
Latham, NY 12110-1019
Phone (518) 783-0035

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, OK, TN3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20050504000193 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 6507806080 Reassigns benefits to 6 organizations
I20210303001099 OK Practitioner - Certified Registered Nurse Anesthetist (Crna) 6507806080 Reassigns benefits to 2 organizations
I20240502000640 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 6507806080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifelinc Anesthesia VIII PLLCGroup PAC ID 3173984762, 155 clinicians
Emergenchealth PLLCGroup PAC ID 1355606641, 1,037 clinicians

Practice addresses (Care Compare)

110 Hospital Dr
Jefferson City, TN 37760-5281
Phone (865) 859-1138

1120 S Utica Ave
HC Med Ctr
Tulsa, OK 74104-4012
Phone (918) 579-1000

Hospital & facility affiliations

  • Tennova Healthcare-Jefferson Memorial Hospital Hospital, Jefferson City, TN, CCN 440056
  • St Mary'S Regional Medical Center Hospital, Enid, OK, CCN 370026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
526330NYMDRegistered Nurse
F431089-1NYMDAcute Care Nurse Practitioner
526330-1NYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
St. Mary'S Healthcare CurrentSince Mar 13, 2018 Accepting new patients
Albany Medical College Nurse Anesthetist, Certified Registered CurrentSince Aug 14, 2023 Accepting new patients
Upstate New York Medical Professional Corporation Nurse Anesthetist, Certified Registered CurrentSince Aug 28, 2023 Accepting new patients
St Marys Healthcare CurrentSince Mar 13, 2018 Accepting new patients
Lifelinc Anesthesia VIII PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 19, 2024 Accepting new patients
Albany Medical College Current Accepting new patients
Ias Oklahoma LLC CurrentSince May 1, 2025 Accepting new patients
Syracuse Gastroenterological Associates.PC CurrentSince Mar 11, 2024 Accepting new patients
Syracuse Gastroenterological Associates PC CurrentSince Mar 11, 2024 Accepting new patients
Albany Medical College Current Accepting new patients
American Anesthesiology Associates of Virginia, Inc Past Accepting new patients
Washington Hospital Center Corp Past Accepting new patients
Troy Infectious Disease and Primary Care LLC Past Accepting new patients
George F Robie Jr M D PLLC Past Accepting new patients
Anesthesia Associates LTD. Past Accepting new patients

Locations

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

47 New Scotland Ave
#131
Albany, NY 12208
Phone (518) 262-4300

315 S Manning Blvd
Albany, NY 12208
Phone (518) 525-1852

427 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 442-1404

425 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 842-3330

380 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 841-7415

5000 Campuswood Dr
Ste 200
East Syracuse, NY 13057

5000 Campuswood Dr
Ste 100
East Syracuse, NY 13057
Phone (315) 234-6687

100 Park St
Glens Falls, NY 12801
Phone (518) 926-5924

105 Marys Ave
Kingston, NY 12401
Phone (845) 334-3080

396 Broadway
Kingston, NY 12401
Phone (845) 331-3131

1275 Broadway
Menands, NY 12204
Phone (518) 262-9705

739 Irving Ave
Ste 430
Syracuse, NY 13210

1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488

2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300

2215 Burdett Ave
Ste 200
Troy, NY 12180
Phone (518) 271-3655

400 N Main St
Warsaw, NY 14569
Phone (585) 786-1555

5602 SW Lee Blvd
Lawton, OK 73505
Phone (580) 531-4700

110 Hospital Dr
Jefferson Cty, TN 37760
Phone (865) 471-2431

3340 Players Club Pkwy
Ste 350
Memphis, TN 38125
Phone (901) 207-2017

435 2nd St
Newport, TN 37821
Phone (423) 625-2200

6242 W Andrew Johnson Hwy
Talbott, TN 37877
Phone (423) 690-3250

Interoperability endpoints

  • Direct secure messaging: swettig1852369@direct.trinity-health.org

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 2

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": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1396707394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 USHERS RD STE 204",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120651427",
            "telephone_number": "518-221-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 BURDETT AVENUE",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121802466",
            "telephone_number": "518-271-3300",
            "fax_number": "515-525-6545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "99 E State St",
            "address_purpose": "LOCATION",
            "city": "Gloversville",
            "state": "NY",
            "postal_code": "120781203",
            "country_code": "US",
            "telephone_number": "518-773-5758",
            "fax_number": "518-773-5456",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1072 Troy Schenectady Rd",
            "address_purpose": "LOCATION",
            "city": "Latham",
            "state": "NY",
            "postal_code": "121101019",
            "country_code": "US",
            "telephone_number": "518-783-0035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WETTIG",
        "first_name": "SCOTT",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "CRNA-ACNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-05",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "526330",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "F431089-1",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "526330-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.