NPIMap

Individual provider Active NPI

Brian N Nordstrom, CRNA

  • Certified Registered Nurse Anesthetist
  • Moses Lake, WA
National Provider Identifier
1518992858
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP30007782 Issued in WA
Practice address
801 E Wheeler Rd
Moses Lake, WA 98837-1820
Phone
(509) 765-5606
NPI assigned
Jul 12, 2006
Last updated
Nov 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 7725758 TX
Certified Registered Nurse Anesthetist 367500000X AP30007782 WA Primary

Addresses

Primary practice location

801 E Wheeler Rd
Moses Lake, WA 98837-1820

Mailing address

660 S Coolidge St
Moses Lake, WA 98837-1872
Phone (509) 793-9715

Other identifiers 10

IdentifierTypeStateIssuer
202005544MedicaidNM
202005544OtherNMPRESBYTERIAN COMMERCIAL
59223766MedicaidNM
86228UOtherTXBC/BS
180399101MedicaidTX
86243UOtherTXHMO BLUE
134895101MedicaidTX
134895100OtherTXFIRSTCARE COMMERCIAL
1044563MedicaidWA
200077930AMedicaidOK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070920000122 WA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1254340599 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

200 Prosser Health Dr
Prosser, WA 99350-7832
Phone (509) 788-6022

2000 S Clover Dr
Moses Lake, WA 98837-4417
Phone (509) 765-5606

901 Mountain View Dr
Suite 1
Shelton, WA 98584-4401
Phone (360) 427-3625

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
102451TXMDSpeech-Language Pathologist
7725758TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Pend Oreille County Public Hospital District No 1 CurrentSince Jan 15, 2026 Accepting new patients
Public Hospital District No 1 of Mason County Nurse Anesthetist, Certified Registered CurrentSince May 15, 2024 Accepting new patients
Prosser Public Hospital District of Benton County CurrentSince Sep 1, 2025 Accepting new patients
Public Hospital District No 1 of Mason County Wa CurrentSince May 15, 2024 Accepting new patients
Prosser Public Hospital District of Benton County CurrentSince Sep 1, 2025 Accepting new patients
Grant County Public Hospital District 1 CurrentSince Nov 1, 2016 Accepting new patients
Grant County Public Hospital District 1 Current Accepting new patients
Pend Oreille County Public Hospital District No 1 CurrentSince Jan 15, 2026 Accepting new patients
Prosser Public Hospital District of Benton County CurrentSince Sep 15, 2025 Accepting new patients
Pend Oreille County Public Hospital District No 1 CurrentSince Jan 15, 2026 Accepting new patients
Grant County Public Hospital District 1 CurrentSince Nov 1, 2016 Accepting new patients
Public Hospital District No 3 of Whitman County CurrentSince Apr 1, 2024 Accepting new patients
Pend Oreille County Public Hospital District No 1 Past Accepting new patients
Pend Oreille County Public Hospital District No 1 Past Accepting new patients

Locations

400 10th St E
Waconia, MN 55387

1105 Dale Ave
Benton City, WA 99320
Phone (509) 588-4075

1200 W Fairview St
Colfax, WA 99111
Phone (509) 397-3435

2000 S Clover Dr
Moses Lake, WA 98837
Phone (509) 765-5606

660 S Coolidge St
Moses Lake, WA 98837

801 E Wheeler Rd
Moses Lake, WA 98837
Phone (509) 765-5606

714 W Pine St
Newport, WA 99156
Phone (509) 447-2441

200 Prosser Health Dr
Prosser, WA 99350
Phone (509) 786-2222

901 Mountain View Dr
Bldg 1
Shelton, WA 98584
Phone (360) 426-1611

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 6

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1518992858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 S COOLIDGE ST",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988371872",
            "telephone_number": "509-793-9715",
            "fax_number": "509-764-3244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E WHEELER RD",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988371820",
            "telephone_number": "509-765-5606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORDSTROM",
        "first_name": "BRIAN",
        "middle_name": "N",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "7725758",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "AP30007782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202005544",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESBYTERIAN COMMERCIAL",
            "identifier": "202005544",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "59223766",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "86228U",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180399101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO BLUE",
            "identifier": "86243U",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134895101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTCARE COMMERCIAL",
            "identifier": "134895100",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1044563",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200077930A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moses Lake, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; 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.