Trevor R Willardson, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

CRA100105 Issued in CO

Practice address

400 West 16TH
Pueblo, CO 81003-2828

Phone

(719) 584-4420

NPI assigned

Apr 25, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

US Anesthesia Partners of Colorado IncGroup PAC ID 6002072055, 472 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Thomas More Hospital Hospital, Canon City, CO, CCN 061344

Merit-based Incentive Payment System (MIPS)

Final score

84.8 of 100Reported as group

Quality

85

Improvement activities

40

Cost

76.83

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• US Anesthesia Partners of Colorado Inc.

  • Anesthesiology Physician
  • Greenwood Village, CO
  • NPI 1922365782

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Digestive Diseases Specialists of Colorado,LLC

  • Gastroenterology Physician
  • Pueblo, CO
  • NPI 1033135330
  Medicare reassignment NPD
• RB Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Colorado Springs, CO
  • NPI 1972108306

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Matthew J Furman, D.O. LLC

  • Pain Medicine Physician
  • Pueblo, CO
  • NPI 1952739427
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Catholic Health Initiatives Colorado

  dba St. Thomas More Hospital Swing Bed Unit

  • Medicare Defined Swing Bed Hospital Unit
  • Canon City, CO
  • NPI 1710052501
  Care Compare affiliation
• Catholic Health Initiatives Colorado

  dba St. Thomas More Hospital

  • Critical Access Hospital
  • Canon City, CO
  • NPI 1922012350
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436227200000",
    "number": "1437417748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 NORTH MAIN ST.",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810032828",
            "telephone_number": "719-543-7877",
            "fax_number": "719-543-7882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WEST 16TH",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810032828",
            "telephone_number": "719-584-4420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLARDSON",
        "first_name": "TREVOR",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-25",
        "last_updated": "2015-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CO",
            "license": "CRA100105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Wiley, DPT
• Laronza Ronquinette Wiley
• Matthew W Wilkins
• Krista Elizabeth Wilks, D.C.
• Febie Will, RDH
• William and Associates LLC
• William Storms Allergy Clinic PC (Aspire Allergy & Sinus)
• Marilyn J Williams Miller, P.T.
• Brandon Williams
• Britney L Williams, COTA/L

• Certified Registered Nurse Anesthetist in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Certified Registered Nurse Anesthetist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; 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.