Individual provider Active NPI

Samuel Brauninger, CRNA

  • Certified Registered Nurse Anesthetist
  • Laramie, WY
National Provider Identifier
1477049039
Registry record updated Jul 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
11930 Issued in WY
Practice address
255 N 30TH St
Laramie, WY 82072-5140
Phone
(307) 742-2141
NPI assigned
Jul 7, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 11930 WY Primary

Addresses

Primary practice location

255 N 30TH St
Laramie, WY 82072-5140

Mailing address

2605 Nighthawk Dr
Laramie, WY 82072-1978
Phone (734) 216-0063

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180731003775 WY Practitioner - Certified Registered Nurse Anesthetist (Crna) 1951659416 Reassigns benefits to 1 organization
I20181107002070 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 1951659416 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Colorado Anesthesia Professionals PLLCGroup PAC ID 6800878760, 155 clinicians

Practice addresses (Care Compare)

2500 Rocky Mountain Ave
Loveland, CO 80538-9004
Phone (970) 297-6425

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11930WYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mountain State Anesthesia Providers CurrentSince Oct 1, 2018 Accepting new patients
Ivinson Memorial Hospital CurrentSince Jul 1, 2018 Accepting new patients
Northern Colorado Anesthesia Professionals PLLC CurrentSince Jun 2, 2019 Accepting new patients
Rocky Mountain State Anesthesia Providers CurrentSince Oct 1, 2018 Accepting new patients
Ivinson Memorial Hospital CurrentSince Jul 1, 2018 Accepting new patients

Locations

3702 Automation Way
Ste 103
Fort Collins, CO 80525
Phone (970) 922-3622

1024 S Lemay Ave
Fort Collins, CO 80524
Phone (970) 495-7000

5890 W 13th St
Ste 102
Greeley, CO 80634
Phone (970) 348-0090

1801 16th St
Greeley, CO 80631
Phone (970) 352-4121

2500 Rocky Mountain Ave
Ste 200
Loveland, CO 80538
Phone (970) 297-6425

2500 Rocky Mountain Ave
Loveland, CO 80538
Phone (970) 297-6425

3116 Willett Dr
Laramie, WY 82072
Phone (307) 742-6319

255 N 30th St
Laramie, WY 82072
Phone (307) 742-2141

Organizations & group practices 5

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.

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1530921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530921600000",
    "number": "1477049039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 NIGHTHAWK DR",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820721978",
            "telephone_number": "734-216-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 N 30TH ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820725140",
            "telephone_number": "307-742-2141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUNINGER",
        "first_name": "SAMUEL",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-07",
        "last_updated": "2018-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WY",
            "license": "11930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laramie, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2018; 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.