Active NPI
Ryan Jeffrey Werner, CRNA
- Certified Registered Nurse Anesthetist
- Fairfax, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 0024181578
- Practice address
- 3600 Joseph Siewick Dr
Fairfax, VA 22033-1709 - Phone
- (703) 391-3600
- NPI assigned
- May 18, 2016
- Last updated
- Nov 22, 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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300008176 | Medicaid | IN | |
| K231360 | Other | KY | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, KY, DC, VA, IL
Enrollment records 5
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4704270624 | MI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Anesthesiologists, SC | Current | Accepting new patients | |
| American Anesthesiology of Virginia, PC | Current | Accepting new patients | |
| Spectrum Health Primary Care Partners | Current | Accepting new patients | |
| West Michigan Aas LLC | Current | Accepting new patients | |
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| Michigan Primary Care Partners P C | Current | Accepting new patients | |
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| American Anesthesiology of Virginia PC | Current | Accepting new patients | |
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| Associated Anesthesiologists, S.C. | Current | Accepting new patients | |
| Resource Anesthesiology Associates of Mi PC | Current | Accepting new patients | |
| Spectrum Health Primary Care Partners | Current | 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
- 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.
-
- Anesthesiology Physician
- Peoria, IL
- NPI 1558306480
-
- Certified Registered Nurse Anesthetist
- Hillsdale, MI
- NPI 1275302051
-
- Anesthesiology Physician
- Grand Rapids, MI
- NPI 1124063078
-
dba West Michigan Pain
- Internal Medicine Physician
- Big Rapids, MI
- NPI 1366497380
-
- Anesthesiology Physician
- Saginaw, MI
- NPI 1568755882
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1366722316
-
- Anesthesiology Physician
- Novi, MI
- NPI 1295149227
-
- Emergency Medicine Physician
- Sheridan, MI
- NPI 1528090594
-
- Anesthesiology Physician
- Grand Rapids, MI
- NPI 1710523782
-
- Anesthesiology Physician
- Leesburg, VA
- NPI 1053675199
-
- Anesthesiology Physician
- Peoria, IL
- NPI 1023612082
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercy Health Muskegon
- General Acute Care Hospital
- Muskegon, MI
- NPI 1831132133
-
dba Corewell Health Pennock Hospital
- Critical Access Hospital
- Hastings, MI
- NPI 1932695525
-
- Critical Access Hospital
- Sheridan, MI
- NPI 1689618324
-
dba Corewell Health Grand Rapids Hospital
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1922090554
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.