Individual provider Active NPI

Benjamin E Siapco, CRNA

  • Certified Registered Nurse Anesthetist
  • Mount Vernon, WA
National Provider Identifier
1487766457
Registry record updated Jun 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN00156113 Issued in WA
Practice address
2100 Little Mountain LN
Mount Vernon, WA 98274-8752
Phone
(360) 416-6735
Fax
(360) 424-6924
NPI assigned
Aug 31, 2006
Last updated
Jun 9, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 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 RN00156113 WA Primary

Addresses

Primary practice location

2100 Little Mountain LN
Mount Vernon, WA 98274-8752

Mailing address

PO Box 97115
Lakewood, WA 98497-0115
Phone (253) 588-7911

Other identifiers 1

IdentifierTypeStateIssuer
0228823OtherWALABOR & INDUSTRIES

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041130000301 WA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3476518655 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evergreen Eye Anesthesia PLLCGroup PAC ID 7315317112, 14 clinicians

Practice addresses (Care Compare)

34719 6TH Ave S
Federal Way, WA 98003-8714
Phone (800) 340-3595

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Evergreen Eye Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2023 Accepting new patients
Washington Gastroenterology PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2020 Accepting new patients
Washington Gastroenterology PLLC CurrentSince Jan 1, 2020 Accepting new patients
Valley Anesthesia Associates, PLLC Past Accepting new patients
Eye Associates Surgery Center Inc Past Accepting new patients
Narrows Anesthesia Services PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

1135 116th Ave NE
Ste 400
Bellevue, WA 98004
Phone (425) 454-4644

1135 116th Ave NE
Ste 570
Bellevue, WA 98004
Phone (425) 451-7335

1135 116th Ave NE
Ste NE560
Bellevue, WA 98004

34503 9th Ave S
Ste 240
Federal Way, WA 98003
Phone (253) 838-9839

34719 6th Ave S
Federal Way, WA 98003
Phone (206) 212-2100

2727 Hollycroft St
Ste 480
Gig Harbor, WA 98335
Phone (253) 858-0112

1301 4th Ave NW
Ste 301
Issaquah, WA 98027
Phone (425) 270-6363

1301 4th Ave NW
Unit 303
Issaquah, WA 98027
Phone (425) 270-6363

17700 SE 272nd St
Ste 420
Kent, WA 98042
Phone (253) 639-9660

1703 S Meridian
Ste 203
Puyallup, WA 98371
Phone (253) 841-3933

1703 S Meridian
Ste 305
Puyallup, WA 98371
Phone (253) 841-3933

1229 Madison St
Ste 1250
Seattle, WA 98104
Phone (206) 622-2020

3209 S 23rd St
Ste 200
Tacoma, WA 98405
Phone (253) 503-2508

502 S M St
Tacoma, WA 98405
Phone (253) 301-4953

Interoperability endpoints

  • FHIR API: https://b77485b4-c1a7-4e91-916d-278628085702.gastro.prod.fhir.ema-api.com/fhir/r4/
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276041600000",
    "number": "1487766457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 97115",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984970115",
            "telephone_number": "253-588-7911",
            "fax_number": "253-984-6774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 LITTLE MOUNTAIN LN",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982748752",
            "telephone_number": "360-416-6735",
            "fax_number": "360-424-6924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIAPCO",
        "first_name": "BENJAMIN",
        "middle_name": "E",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "RN00156113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "0228823",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.