Patrick Aaron Davidson, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

101193 Issued in NE

Practice address

804 22ND Ave
Kearney, NE 68845-2206

Phone

(308) 455-3600

Fax

(888) 974-5962

NPI assigned

May 29, 2012

Last updated

Dec 8, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NE, KS2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Grand Island Regional Medical CenterGroup PAC ID 0143659508, 29 clinicians

The Mary Lanning Memorial Hospital AssociationGroup PAC ID 4587575550, 129 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mary Lanning Healthcare Hospital, Hastings, NE, CCN 280032
• Grand Island Regional Medical Center Hospital, Grand Island, NE, CCN 280139

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Grand Island Regional Medical Center

  • Emergency Medicine Physician
  • Grand Island, NE
  • NPI 1225658495

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• The Mary Lanning Memorial Hospital Association

  • Family Medicine Physician
  • Hastings, NE
  • NPI 1356656417
  Medicare reassignment Care Compare group NPD
• Associated Anesthesiologists PC

  • Anesthesiology Physician
  • Lincoln, NE
  • NPI 1972674604
  Medicare reassignment NPD
• Bryan Hospital Kearney

  dba Kearney Regional Medical Center Platte Valley Medical Clinic

  • Family Medicine Physician
  • Kearney, NE
  • NPI 1033875380
  Medicare reassignment NPD
• Evans Anesthesia, PC

  • Anesthesiology Physician
  • Kearney, NE
  • NPI 1164393302
  Medicare reassignment NPD
• Lexington Regional Health Center

  dba Lexington Regional Health Center Professional Services

  • Emergency Medicine Physician
  • Lexington, NE
  • NPI 1316016165

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Lexington Regional Health Center

  • Critical Access Hospital
  • Lexington, NE
  • NPI 1467417352
  Medicare reassignment NPD
• North Platte Surgery Center Anesthesia, LLC

  • Anesthesiology Physician
  • North Platte, NE
  • NPI 1780869222

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Phelps Memorial Health Center

  • Critical Access Hospital
  • Holdrege, NE
  • NPI 1629035936
  Medicare reassignment NPD
• Phelps Memorial Health Center

  • Certified Registered Nurse Anesthetist
  • Holdrege, NE
  • NPI 1871528851

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Bryan Hospital Kearney

  dba Kearney Regional Medical Center

  • General Acute Care Hospital
  • Kearney, NE
  • NPI 1407513484
  NPD
• Lexington Regional Health Center

  dba Lexington Regional Health Center Medical Clinic

  • Rural Health Clinic/Center
  • Lexington, NE
  • NPI 1144888579
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Grand Island Regional Medical Center

  • General Acute Care Hospital
  • Grand Island, NE
  • NPI 1558910604
  Care Compare affiliation
• The Mary Lanning Memorial Hospital Association

  dba Mary Lanning Healthcare Laboratory Services

  • Clinical Medical Laboratory
  • Hastings, NE
  • NPI 1205442258

  Hospital

  Care Compare affiliation
• The Mary Lanning Memorial Hospital Association

  dba Mary Lanning Healthcare

  • Rural Acute Care Hospital
  • Hastings, NE
  • NPI 1831203488
  Care Compare affiliation

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

{
    "created_epoch": "1338249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417996800000",
    "number": "1548520240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 56TH AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688450380",
            "telephone_number": "308-224-2062",
            "fax_number": "888-974-5962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 22ND AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688452206",
            "telephone_number": "308-455-3600",
            "fax_number": "888-974-5962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "PATRICK",
        "middle_name": "AARON",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-29",
        "last_updated": "2014-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NE",
            "license": "101193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026427500",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lois Ann Dauel, APRN
• Jennifer Marie Daup, OTR/L
• Marissa Davala, PH.D., LIMHP, LPC
• David McConnell, MD, LLC
• Maureena J David, RN
• Ashley Jae Davis, LMHP.,LPC
• Jessica Davis
• Kassandra M Davis, MD
• Melissa Davison
• Reynaldo A De Los Angeles, M.D.

• Certified Registered Nurse Anesthetist in Kearney, NE
• Providers in Kearney, NE by specialty
• Certified Registered Nurse Anesthetist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2014; 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.