Active NPI
Reyne A Viergutz, CRNA
- Certified Registered Nurse Anesthetist
- Norfolk, NE
National Provider Identifier
1487606653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 100380
- Practice address
- 2700 W Norfolk Ave
Norfolk, NE 68701-4438 - Phone
- (402) 371-4880
- Fax
- (402) 644-7647
- NPI assigned
- May 16, 2006
- 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 | 100380 | NE | Primary |
Addresses
Primary practice location
2700 W Norfolk Ave
Norfolk, NE 68701-4438
Mailing address
PO Box 5126
Sioux Falls, SD 57117-5126
Phone (605) 335-1952
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0728147 | Medicaid | IA | |
| 36433 | Other | NE | BCBS |
| P00944050 | Other | NE | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 80.77 of 100
- Quality
- 67.03
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 72.22
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100380 | NE | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faith Regional Physician Services, LLC | Current | Accepting new patients |
Locations
47452 268 Ave
Ste C
Humphrey, NE 68642
Phone (402) 923-0150
2700 W Norfolk Ave
Norfolk, NE 68701
Phone (402) 644-7131
2600 W Norfolk Ave
Ste 200
Norfolk, NE 68701
Phone (402) 844-8194
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Norfolk, NE
- NPI 1265489157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313971200000",
"number": "1487606653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5126",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571175126",
"telephone_number": "605-335-1952",
"fax_number": "605-373-9971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 W NORFOLK AVE",
"city": "NORFOLK",
"state": "NE",
"postal_code": "687014438",
"telephone_number": "402-371-4880",
"fax_number": "402-644-7647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIERGUTZ",
"first_name": "REYNE",
"middle_name": "A",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-16",
"last_updated": "2011-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NE",
"license": "100380",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0728147",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "36433",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00944050",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.