Active NPI
Melinda Wander, CRNA
- Certified Registered Nurse Anesthetist
- Modesto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 95002091
- Practice address
- 1441 Florida Ave
Modesto, CA 95350-4404 - Phone
- (209) 578-1211
- NPI assigned
- Jun 15, 2023
- Last updated
- Jun 15, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 95002091 | CA | Primary |
Addresses
Primary practice location
1441 Florida Ave
Modesto, CA 95350-4404
Mailing address
753 Tern Dr
Lathrop, CA 95330-8044
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, AK
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2500 S Woodworth Loop
Palmer, AK 99645-8984
Phone (907) 861-6000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 63.03 of 100
- Quality
- 44.74
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Care Associates, PC | Current | Accepting new patients | |
| Mat-Su Valley Medical Center LLC | Current | Accepting new patients | |
| Valley Regional Anesthesia Associates Inc | Current | Accepting new patients | |
| Mat Su Valley Medical Center LLC | Current | Accepting new patients | |
| Mat Su Valley Medical Center LLC | Past | Accepting new patients |
Locations
2500 S Woodworth Loop
Palmer, AK 99645
Phone (907) 861-6000
950 E Bogard Rd
Wasilla, AK 99654
Phone (907) 352-2880
2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545
3001 Sillect Ave
Bakersfield, CA 93308
Phone (661) 316-6000
2139 E Beechwood Ave
Fresno, CA 93720
Phone (559) 322-6600
1660 W 3rd St
Los Angeles, CA 90017
Phone (213) 201-0850
1205 E North St
Manteca, CA 95336
Phone (209) 239-8301
145 Trevino Ave
Manteca, CA 95337
Phone (209) 788-8180
1300 Mable Ave
Ste 1
Modesto, CA 95355
Phone (209) 571-1633
1441 Florida Ave
Modesto, CA 95350
Phone (209) 214-7235
465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886
2900 Eureka Way
Redding, CA 96001
Phone (530) 225-8700
825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744
119 S Locust St
#B
Visalia, CA 93291
Phone (559) 366-7177
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Palmer, AK
- NPI 1033160452
-
- Anesthesiology Physician
- Fresno, CA
- NPI 1578272415
-
dba Mat-Su Regional Urgent Care
- Urgent Care Clinic/Center
- Wasilla, AK
- NPI 1912950148
-
dba Mat-Su Regional Medical Center
- General Acute Care Hospital
- Palmer, AK
- NPI 1417975061
-
dba Mat-Su Regional Medical Center
- Medicare Defined Swing Bed Hospital Unit
- Palmer, AK
- NPI 1003838384
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mat-Su Regional Medical Center
- General Acute Care Hospital
- Palmer, AK
- NPI 1417975061
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686787200000",
"number": "1477238632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "753 TERN DR",
"city": "LATHROP",
"state": "CA",
"postal_code": "953308044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1441 FLORIDA AVE",
"city": "MODESTO",
"state": "CA",
"postal_code": "953504404",
"telephone_number": "209-578-1211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANDER",
"first_name": "MELINDA",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-15",
"last_updated": "2023-06-15",
"certification_date": "2023-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "95002091",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; 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.