Individual provider Active NPI

Ryan Jeffrey Werner, CRNA

  • Certified Registered Nurse Anesthetist
  • Fairfax, VA
National Provider Identifier
1417304502
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0024181578 Issued in VA
Practice address
3600 Joseph Siewick Dr
Fairfax, VA 22033-1709
Phone
(703) 391-3600
NPI assigned
May 18, 2016
Last updated
Nov 22, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 4704270624 MI
Certified Registered Nurse Anesthetist 367500000X 0024181578 VA Primary

Addresses

Primary practice location

3600 Joseph Siewick Dr
Fairfax, VA 22033-1709

Mailing address

9016 Kiger St
Lorton, VA 22079-3103
Phone (231) 349-0421

Other identifiers 2

IdentifierTypeStateIssuer
300008176MedicaidIN
K231360OtherKYMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, KY, DC, VA, IL5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20160607001306 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 0941590723 Reassigns benefits to 6 organizations
I20171110000559 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 0941590723 Reassigns benefits to 1 organization
I20211202001105 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 0941590723 Reassigns benefits to 1 organization
I20211221001170 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0941590723 Reassigns benefits to 1 organization
I20221007001772 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 0941590723 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Mary's Health ServicesGroup PAC ID 4981500436, 175 clinicians
Challenge Anesthesia Staffing LLCGroup PAC ID 8224479332, 21 clinicians
Associated Anesthesiologists SCGroup PAC ID 6305744129, 150 clinicians

Practice addresses (Care Compare)

200 Jefferson Ave SE
Grand Rapids, MI 49503-4502
Phone (734) 263-2400

301 N Main St
Sheridan, MI 48884-9235
Phone (989) 291-3261

6742 N Frostwood Pkwy
Peoria, IL 61615-2402
Phone (309) 692-5393

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704270624MIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Anesthesiologists, SC CurrentSince Sep 19, 2022 Accepting new patients
American Anesthesiology of Virginia, PC CurrentSince Aug 25, 2021 Accepting new patients
Spectrum Health Primary Care Partners Current Accepting new patients
West Michigan Aas LLC CurrentSince May 1, 2019 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Nov 27, 2017 Accepting new patients
Michigan Primary Care Partners P C CurrentSince Apr 1, 2019 Accepting new patients
University of Louisville Physicians, Inc. Current Accepting new patients
American Anesthesiology of Virginia PC CurrentSince Aug 25, 2021 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Nov 27, 2017 Accepting new patients
Associated Anesthesiologists, S.C. CurrentSince Sep 19, 2022 Accepting new patients
Resource Anesthesiology Associates of Mi PC CurrentSince Jan 28, 2019 Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Sep 2, 2025 Accepting new patients
American Anesthesiology Associates of Michigan, PC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

530neglen Oak Ave
Peoria, IL 61637
Phone (309) 692-5393

6742 N Frostwood Pkwy
Peoria, IL 61615
Phone (309) 692-5393

530 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

20095 Gilbert Rd
Big Rapids, MI 49307
Phone (231) 305-4095

20095 Gilbert Rd
Ste B
Big Rapids, MI 49307
Phone (231) 408-3208

6245 Inkster Rd
Garden City, MI 48135
Phone (734) 421-3300

100 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 391-1680

200 Jefferson Ave SE
Grand Rapids, MI 49503
Phone (616) 685-5000

4024 Park East Ct SE
Grand Rapids, MI 49546
Phone (231) 592-3102

4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600

43422 W Oaks Dr
Novi, MI 48377
Phone (248) 229-4658

826 W King St
Owosso, MI 48867
Phone (989) 720-2273

2601 Electric Ave
Port Huron, MI 48060
Phone (810) 216-1500

301 N Main St
Sheridan, MI 48884
Phone (989) 291-3261

200 Hemlock St
Tawas City, MI 48763
Phone (989) 362-0153

1560 E Maple Rd
#100
Troy, MI 48083
Phone (248) 817-2001

3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17442/brand/2/csg/1/fhir/r4

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 4

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": "1463529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1417304502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9016 KIGER ST",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220793103",
            "telephone_number": "231-349-0421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 JOSEPH SIEWICK DR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331709",
            "telephone_number": "703-391-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERNER",
        "first_name": "RYAN",
        "middle_name": "JEFFREY",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-18",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704270624",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024181578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300008176",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "K231360",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.

Verify at the official NPI Registry.