Active NPI
Jeffery Simpkins, CRNA
- Certified Registered Nurse Anesthetist
- New Richmond, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 110270-030
- Practice address
- 130 S Knowles Ave
New Richmond, WI 54017-1727 - Phone
- (715) 246-3018
- Fax
- (715) 246-3019
- NPI assigned
- Dec 13, 2006
- Last updated
- Mar 19, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 110270-30 | WI | |
| Certified Registered Nurse Anesthetist | 367500000X | 110270-030 | WI | Primary |
Addresses
Primary practice location
130 S Knowles Ave
New Richmond, WI 54017-1727
Mailing address
130 S Knowles Ave
New Richmond, WI 54017-1727
Phone (715) 246-3018
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43349900 | Medicaid | WI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rva@frontier.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110270-030 | WI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Croix Regional Medical Center | Current | Accepting new patients | |
| St. Croix Regional Medical Center | Current | Accepting new patients | |
| Amery Regional Medical Center, Inc. | Current | Accepting new patients | |
| Amery Regional Medical Center, Inc. | Current | Accepting new patients | |
| Ladd Memorial Hospital | Current | Accepting new patients | |
| Ladd Memorial Hospital | Current | Accepting new patients | |
| Amery Regional Medical Center, Inc. | Current | Accepting new patients | |
| Burnett Medical Center Inc | Past | Accepting new patients | |
| River Valley Anesthesia, Inc. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
265 Griffin St E
Amery, WI 54001
Phone (715) 268-0301
535 Hospital Rd
New Richmond, WI 54017
Phone (651) 292-2013
2600 65th Ave
Osceola, WI 54020
Phone (705) 268-8000
216 S Adams St
St Croix Fls, WI 54024
Phone (715) 483-0426
235 E State St
St Croix Fls, WI 54024
Phone (715) 483-3221
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.
-
dba Amery Hospital & Clinic
- Critical Access Hospital
- Amery, WI
- NPI 1093763518
-
dba Osceola Medical Center
- Critical Access Hospital
- Osceola, WI
- NPI 1467560227
-
- Critical Access Hospital
- Saint Croix Falls, WI
- NPI 1043240922
-
dba Amery Hospital & Clinic -Clear Lake Clinic
- Rural Health Clinic/Center
- Clear Lake, WI
- NPI 1366878449
-
dba Amery Hospital & Clinic - Luck
- Rural Health Clinic/Center
- Luck, WI
- NPI 1851345268
-
dba Osceola Medical Center Osceola Clinic
- Rural Health Clinic/Center
- Osceola, WI
- NPI 1801394549
-
- Rural Health Clinic/Center
- Balsam Lake, WI
- NPI 1013423219
-
- Critical Access Hospital
- Grantsburg, WI
- NPI 1225191687
-
- Certified Registered Nurse Anesthetist
- New Richmond, WI
- NPI 1285148643
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552953600000",
"number": "1477614394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 S KNOWLES AVE",
"city": "NEW RICHMOND",
"state": "WI",
"postal_code": "540171727",
"telephone_number": "715-246-3018",
"fax_number": "715-246-3019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 S KNOWLES AVE",
"city": "NEW RICHMOND",
"state": "WI",
"postal_code": "540171727",
"telephone_number": "715-246-3018",
"fax_number": "715-246-3019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMPKINS",
"first_name": "JEFFERY",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-13",
"last_updated": "2019-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WI",
"license": "110270-30",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WI",
"license": "110270-030",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43349900",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rva@frontier.com",
"affiliation": "N",
"address_1": "130 S Knowles Ave",
"city": "New Richmond",
"state": "WI",
"country_code": "US",
"postal_code": "540171727",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in New Richmond, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.