Individual provider Active NPI

Troy Eldon Votruba, CRNA, APRN, MS

  • Certified Registered Nurse Anesthetist
  • Douglas, WY
National Provider Identifier
1477576874
Registry record updated May 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
18540.0832 Issued in WY
Practice address
111 S 5TH St
Douglas, WY 82633-2434
Phone
(307) 358-2122
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2015

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 18540.0832 WY Primary

Addresses

Primary practice location

111 S 5TH St
Douglas, WY 82633-2434

Mailing address

305 19TH St
Wheatland, WY 82201-3140
Phone (307) 331-8174

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070828000667 WY Practitioner - Certified Registered Nurse Anesthetist (Crna) 5395842389 Reassigns benefits to 3 organizations
Practice locations: Casper, WY

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Hospital of Converse CountyGroup PAC ID 2264340843, shared by 5 NPIs, 77 clinicians

Practice addresses (Care Compare)

111 S 5TH St
Douglas, WY 82633-2434
Phone (307) 358-2122

6350 E 2ND St
Casper, WY 82609-4264
Phone (307) 232-6600

700 E Ctr St
Douglas, WY 82633-2446
Phone (307) 358-7300

Hospital & facility affiliations

  • Summit Medical Center Hospital, Casper, WY, CCN 530034
  • Memorial Hospital of Converse County Hospital, Douglas, WY, CCN 531302

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Master of Science

State licenses

LicenseStateTypeSpecialty
832WYMDMental Health Counselor
18540.0832WYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital of Converse County Current Accepting new patients
Platte County Hospital Current Accepting new patients
Memorial Hospital of Converse County CurrentSince Jan 1, 2014 Accepting new patients
Wyoming Regional Anesthesia LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Mid West Anesthesia Consultants LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Panhandle Anesthesia Associates PC Past Accepting new patients

Locations

111 S 5th St
Douglas, WY 82633
Phone (307) 358-6200

201 14th St
Wheatland, WY 82201
Phone (307) 322-3636

Organizations & group practices 6

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 2

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431561600000",
    "number": "1477576874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 19TH ST",
            "city": "WHEATLAND",
            "state": "WY",
            "postal_code": "822013140",
            "telephone_number": "307-331-8174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S 5TH ST",
            "city": "DOUGLAS",
            "state": "WY",
            "postal_code": "826332434",
            "telephone_number": "307-358-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOTRUBA",
        "first_name": "TROY",
        "middle_name": "ELDON",
        "name_prefix": "Mr.",
        "credential": "CRNA, APRN, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2015-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WY",
            "license": "18540.0832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglas, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.