Individual provider Active NPI

Crispus Nyambariga Ombui, CRNA

  • Certified Registered Nurse Anesthetist
  • Orlando, FL
National Provider Identifier
1578084281
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
122391 Issued in FL
Practice address
9452 Randal Park Blvd
Unit 2-2126
Orlando, FL 32832
Phone
(763) 568-8112
NPI assigned
Jul 3, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 122391 WI
Student in an Organized Health Care Education/Training Program 390200000X
Certified Registered Nurse Anesthetist 367500000X 122391 FL Primary

Addresses

Primary practice location

9452 Randal Park Blvd
Unit 2-2126
Orlando, FL 32832

Mailing address

700 Waters Edge Rd Apt 15
Racine, WI 53402-1559
Phone (763) 568-8112

Other identifiers 1

IdentifierTypeStateIssuer
100082494MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181107001982 WI Practitioner - Certified Registered Nurse Anesthetist (Crna) 4486908654 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aurora Medical Group, Inc.Group PAC ID 6709794258, 3,764 clinicians
Vituity-Wisconsin Anesthesia SCGroup PAC ID 2163968819, 144 clinicians
Ias Illinois PCGroup PAC ID 9638530991, 79 clinicians
Anesthesia Partners Services SCGroup PAC ID 4082832514, 37 clinicians

Practice addresses (Care Compare)

10400 75TH St
Kenosha, WI 53142-7884
Phone (262) 948-7000

13111 N Port Washington Rd
Mequon, WI 53097-2416
Phone (262) 243-7300

19333 W N Ave
Brookfield, WI 53045-4132
Phone (262) 785-2000

1969 W Hart Rd
Beloit, WI 53511-2230
Phone (608) 364-5011

2301 N Lake Dr
Milwaukee, WI 53211-4508
Phone (414) 585-1132

2801 W Kinnickinnic River Pkwy
Suite 1080
Milwaukee, WI 53215-3689
Phone (414) 908-6500

9555 76TH St
Pleasant Prairie, WI 53158-1984
Phone (262) 577-8000

Hospital & facility affiliations

  • Aurora Medical Center Kenosha Hospital, Kenosha, WI, CCN 520189
  • Aurora Lakeland Medical Center Hospital, Elkhorn, WI, CCN 520102
  • Ascension Columbia St Marys Hospital Milwaukee Hospital, Milwaukee, WI, CCN 520051
  • Beloit Health System Hospital, Beloit, WI, CCN 520100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8570WIMDSocial Worker
122391FLMDCertified Registered Nurse Anesthetist
122391WIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
MCHS Hospitals Inc CurrentSince Jun 30, 2020 Accepting new patients
Vituity-Wisconsin Anesthesia SC Current Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Vituity-Wisconsin Anesthesia SC CurrentSince Dec 15, 2024 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Jun 30, 2020 Accepting new patients
Stateline Anesthesiologists SC CurrentSince Jan 22, 2024 Accepting new patients
Marshfield Clinic Inc CurrentSince Jun 30, 2020 Accepting new patients
Vituity-Wisconsin Anesthesia SC CurrentSince Dec 15, 2024 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Feb 28, 2022 Accepting new patients
Racine Anesthesia Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 13, 2018 Accepting new patients
Ias Illinois PC CurrentSince Apr 1, 2025 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Anesthesia Partners Services, S.C. CurrentSince Jan 31, 2019 Accepting new patients
MCHS Hospitals Inc CurrentSince Jun 30, 2020 Accepting new patients
Aurora Medical Group, Inc. Nurse Anesthetist, Certified Registered CurrentSince Feb 28, 2022 Accepting new patients
Laboratory Corportation of America Holdings Past Accepting new patients

Locations

1969 W Hart Rd
Beloit, WI 53511
Phone (608) 364-5011

19333 W North Ave
Brookfield, WI 53045
Phone (262) 785-2000

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

10400 75th St
Kenosha, WI 53142
Phone (262) 697-7000

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

2301 N Lake Dr
Milwaukee, WI 53211
Phone (414) 270-4932

2801 W Kinnickinnic River Pkwy
Ste 1080
Milwaukee, WI 53215
Phone (414) 908-6506

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

5000 W Chambers St
Milwaukee, WI 53210
Phone (414) 447-2089

88948 Box
Milwaukee, WI 53288

3801 Spring St
Mount Pleasant, WI 53405
Phone (262) 636-4011

9555 76th St
Pleasant Prairie, WI 53158
Phone (262) 577-8000

1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133

13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300

9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 259-3000

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 4

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": "1499040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1578084281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 WATERS EDGE RD APT 15",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534021559",
            "telephone_number": "763-568-8112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9452 RANDAL PARK BLVD",
            "address_2": "UNIT 2-2126",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32832",
            "telephone_number": "763-568-8112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMBUI",
        "first_name": "CRISPUS",
        "middle_name": "NYAMBARIGA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-03",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WI",
            "license": "122391",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "122391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100082494",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; 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.