Active NPI
Nicholas Charles Rust, CRNA
- Certified Registered Nurse Anesthetist
- Terre Haute, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 124319
- Practice address
- 1421 N 7TH St
Terre Haute, IN 47807-1005 - Phone
- (812) 232-7192
- NPI assigned
- Dec 26, 2018
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 28213636A | IN | |
| Certified Registered Nurse Anesthetist | 367500000X | 124319 | IN | Primary |
Addresses
Primary practice location
1421 N 7TH St
Terre Haute, IN 47807-1005
Mailing address
1 Sycamore St Apt 137
Terre Haute, IN 47807-2622
Phone (812) 827-6409
Other practice location 1
1421 N 7th St
Terre Haute, IN 47807-1005
Phone (812) 232-7192
Other practice location 2
801 S Main St
Clinton, IN 47842-2261
Phone (765) 832-1234
Other practice location 3
1000 E Main St
Danville, IN 46122-1948
Phone (317) 745-4451
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 E Main St
Danville, IN 46122-1948
8244 E US Hwy 36
Avon, IN 46123-9688
8244 E US Hwy 36 1100
Hendricks Community Hospital
Avon, IN 46123-9627
Phone (317) 272-7500
8244 E US Hwy 36 1320
Avon Internal Medicine
Avon, IN 46123-9688
Phone (317) 272-7519
Hospital & facility affiliations
- Hendricks Regional Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28213636A | IN | MD | Registered Nurse |
| 124319 | IN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hendricks County Hospital | Current | Accepting new patients | |
| Hendricks County Hospital | Current | Accepting new patients | |
| Hendricks County Hospital | Current | Accepting new patients | |
| Hendricks County Hospital | Past | Accepting new patients | |
| Hendricks County Hospital | Past | Accepting new patients |
Locations
8244 E US Highway 36
Ste 1340
Avon, IN 46123
Phone (317) 520-5510
8244 E US Highway 36
Ste 1100
Avon, IN 46123
Phone (317) 272-7500
5492 N Ronald Reagan Pkwy
Brownsburg, IN 46112
Phone (317) 745-6139
1000 E Main St
Danville, IN 46122
Phone (317) 745-3420
Interoperability endpoints
- https://sehproxy.stelizabeth.com/arr-fhir/api/FHIR/R4
Organizations & group practices 5
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.
-
- General Practice Physician
- Danville, IN
- NPI 1497536163
-
- Hospitalist Physician
- Danville, IN
- NPI 1316048754
-
- Pediatrics Physician
- Brownsburg, IN
- NPI 1508758210
-
- Urgent Care Clinic/Center
- Avon, IN
- NPI 1063411551
-
- Family Medicine Physician
- Plainfield, IN
- NPI 1104927557
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Danville, IN
- NPI 1669475950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623974400000",
"number": "1578035879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 SYCAMORE ST APT 137",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478072622",
"telephone_number": "812-827-6409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1421 N 7TH ST",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478071005",
"telephone_number": "812-232-7192"
}
],
"practiceLocations": [
{
"address_1": "1421 N 7th St",
"address_purpose": "LOCATION",
"city": "Terre Haute",
"state": "IN",
"postal_code": "478071005",
"country_code": "US",
"telephone_number": "812-232-7192",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "801 S Main St",
"address_purpose": "LOCATION",
"city": "Clinton",
"state": "IN",
"postal_code": "478422261",
"country_code": "US",
"telephone_number": "765-832-1234",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 E Main St",
"address_purpose": "LOCATION",
"city": "Danville",
"state": "IN",
"postal_code": "461221948",
"country_code": "US",
"telephone_number": "317-745-4451",
"fax_number": "317-718-6740",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUST",
"first_name": "NICHOLAS",
"middle_name": "CHARLES",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-12-26",
"last_updated": "2021-06-18",
"certification_date": "2021-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IN",
"license": "28213636A",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IN",
"license": "124319",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Terre Haute, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; 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.