Individual provider Active NPI

William Merritt Eckert, CRNA

  • Certified Registered Nurse Anesthetist
  • Denver, CO
National Provider Identifier
1477605665
Registry record updated Nov 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1015 Issued in CA
Practice address
55 Madison St
Ste 200
Denver, CO 80206-5419
Phone
(303) 388-0599
Fax
(303) 388-9805
NPI assigned
Jan 17, 2007
Last updated
Nov 16, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2010

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 1015 CA Primary

Addresses

Primary practice location

55 Madison St
Ste 200
Denver, CO 80206-5419

Mailing address

6080 Crestone St
Golden, CO 80403-1016
Phone (530) 368-7655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NY, AZ3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20050412000898 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8729025697 Reassigns benefits to 1 organization
I20120104000486 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 8729025697 Reassigns benefits to 1 organization
I20120608000382 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 8729025697 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
JJM Medical Services PCGroup PAC ID 6800950312, 36 clinicians

Practice addresses (Care Compare)

5 Johnson Rd
Latham, NY 12110-3096
Phone (518) 782-1181

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1015CAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Baec Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 30, 2017 Accepting new patients
Aepc Anesthesia LLC CurrentSince Aug 1, 2015 Accepting new patients
Union Hills Pain Partners LLC CurrentSince May 1, 2021 Accepting new patients
Sunset Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 16, 2012 Accepting new patients
JJM Medical Services, PC CurrentSince Sep 8, 2023 Accepting new patients
East Valley Endoscopy LLC PastSince Apr 16, 2012 Accepting new patients
California Anesthesia Specialists, AMC Nurse Anesthetist, Certified Registered Past Accepting new patients
California Anesthesia Specialist AMC Nurse Anesthetist, Certified Registered Past Accepting new patients
Mesa Az Endoscopy ASC LLC PastSince Oct 17, 2021 Accepting new patients

Locations

6020 E Arbor Ave
Ste 105
Mesa, AZ 85206
Phone (480) 830-2005

4727 E Union Hills Dr
Ste 300
Phoenix, AZ 85050
Phone (480) 207-3737

20400 Lake Chabot Rd
Ste 201
Castro Valley, CA 94546
Phone (510) 538-9900

1753 W Avenue J
Ste A
Lancaster, CA 93534
Phone (661) 206-0555

5 Johnson Rd
Latham, NY 12110
Phone (518) 767-0869

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289865600000",
    "number": "1477605665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6080 CRESTONE ST",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804031016",
            "telephone_number": "530-368-7655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MADISON ST",
            "address_2": "STE 200",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802065419",
            "telephone_number": "303-388-0599",
            "fax_number": "303-388-9805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKERT",
        "first_name": "WILLIAM",
        "middle_name": "MERRITT",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2010-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "1015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; 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.