Active NPI
Robert Scott Wiltrout, CRNA
- Certified Registered Nurse Anesthetist
- Corydon, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 28187882A
- Practice address
- 1141 Hospital Dr NW
Corydon, IN 47112-2164 - Phone
- (812) 738-4251
- NPI assigned
- Jun 23, 2005
- Last updated
- Nov 17, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN502550L | PA | |
| Certified Registered Nurse Anesthetist | 367500000X | 28187882A | IN | Primary |
Addresses
Primary practice location
1141 Hospital Dr NW
Corydon, IN 47112-2164
Mailing address
PO Box 38
Evansville, IN 47701-0038
Phone (812) 738-4251
Other practice location 1
Bayne-Jones Army Community Hospital
1585 third St.
Fort Polk, LA 71459
Phone (337) 531-3517
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | robertwiltrout@dchpm.allscriptsdirect.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
913 N Dixie Ave
Elizabethtown, KY 42701-2503
Phone (270) 706-1212
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TRH Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Professional Anesthesia Services of Kentucky PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Louisville Endoscopy Center, PLLC | Past | Accepting new patients | |
| Laurel Anesthesia Associates, PC | Past | Accepting new patients | |
| Western Pennsylvania Anesthesia Associates, LTD. | Past | Accepting new patients | |
| Latrobe Anesthesia Associates, Inc | Past | Accepting new patients |
Locations
1700 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561
913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212
200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000
4960 Norton Healthcare Blvd
Louisville, KY 40241
Phone (502) 446-8000
4000 Kresge Way
St Matthews, KY 40207
Phone (502) 459-7902
Organizations & group practices 7
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.
-
- Anesthesiology Physician
- Louisville, KY
- NPI 1992212807
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Campbellsville, KY
- NPI 1366120370
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Louisville, KY
- NPI 1982917365
-
- Anesthesiology Physician
- Latrobe, PA
- NPI 1760488902
-
- Specialist
- Greensburg, PA
- NPI 1285630319
-
dba Louisville Endoscopy Center
- Ambulatory Surgical Clinic/Center
- Louisville, KY
- NPI 1003888595
-
- Pain Medicine (Anesthesiology) Physician
- Pittsburgh, PA
- NPI 1386639847
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Health Hardin
- General Acute Care Hospital
- Elizabethtown, KY
- NPI 1689282147
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637107200000",
"number": "1407852536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 38",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477010038",
"telephone_number": "812-738-4251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1141 HOSPITAL DR NW",
"city": "CORYDON",
"state": "IN",
"postal_code": "471122164",
"telephone_number": "812-738-4251"
}
],
"practiceLocations": [
{
"address_1": "Bayne-Jones Army Community Hospital",
"address_2": "1585 third St.",
"address_purpose": "LOCATION",
"city": "Fort Polk",
"state": "LA",
"postal_code": "71459",
"country_code": "US",
"telephone_number": "337-531-3517",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILTROUT",
"first_name": "ROBERT",
"middle_name": "SCOTT",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-23",
"last_updated": "2021-11-17",
"certification_date": "2021-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN502550L",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IN",
"license": "28187882A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "robertwiltrout@dchpm.allscriptsdirect.net",
"affiliation": "N",
"address_1": "1141 Hospital Dr NW",
"city": "Corydon",
"state": "IN",
"country_code": "US",
"postal_code": "471122164",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Corydon, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; 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.