Active NPI
Crispus Nyambariga Ombui, CRNA
- Certified Registered Nurse Anesthetist
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 122391
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100082494 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
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
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
- Aurora Lakeland Medical Center
- Ascension Columbia St Marys Hospital Milwaukee
- Beloit Health System
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8570 | WI | MD | Social Worker |
| 122391 | FL | MD | Certified Registered Nurse Anesthetist |
| 122391 | WI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Vituity-Wisconsin Anesthesia SC | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Vituity-Wisconsin Anesthesia SC | Current | Accepting new patients | |
| Lakeview Medical Center Inc of Rice Lake | Current | Accepting new patients | |
| Stateline Anesthesiologists SC | Current | Accepting new patients | |
| Marshfield Clinic Inc | Current | Accepting new patients | |
| Vituity-Wisconsin Anesthesia SC | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Racine Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Ias Illinois PC | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Anesthesia Partners Services, S.C. | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Nurse Anesthetist, Certified Registered | Current | 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.
-
- Anesthesiology Physician
- Milwaukee, WI
- NPI 1861810947
-
- Certified Registered Nurse Anesthetist
- Milwaukee, WI
- NPI 1427271378
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Pleasant Prairie, WI
- NPI 1821831975
-
- Clinic/Center
- Rice Lake, WI
- NPI 1093201832
-
- Clinic/Center
- Marshfield, WI
- NPI 1952347981
-
- Clinic/Center
- Marshfield, WI
- NPI 1093221434
-
- Critical Access Hospital
- Ladysmith, WI
- NPI 1952890873
-
- Anesthesiology Physician
- Mount Pleasant, WI
- NPI 1467782748
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Beloit, WI
- NPI 1316937519
-
- Durable Medical Equipment & Medical Supplies
- Oshkosh, WI
- NPI 1326858044
-
- Clinic/Center
- Eau Claire, WI
- NPI 1316416035
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kenosha, WI
- NPI 1225156888
-
- General Acute Care Hospital
- Elkhorn, WI
- NPI 1972628006
-
- General Acute Care Hospital
- Beloit, WI
- NPI 1982780094
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1871656082
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.