Individual provider Active NPI

Nyle C Neta, CRNA

  • Certified Registered Nurse Anesthetist
  • Green Bay, WI
National Provider Identifier
1578575239
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
129657 Issued in WI
Practice address
2845 Greenbrier Rd
Green Bay, WI 54311-6519
Phone
(920) 288-3388
Fax
(920) 288-3370
NPI assigned
Aug 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 129657 WI Primary

Addresses

Primary practice location

2845 Greenbrier Rd
Green Bay, WI 54311-6519

Mailing address

3305 N Ballard Rd
Ste a
Appleton, WI 54911-9001
Phone (920) 202-3363

Other identifiers 1

IdentifierTypeStateIssuer
44325000MedicaidWI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address him@marshfieldclinichealthsystem.cernerdirect.com Other

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040205000576 WI Practitioner - Certified Registered Nurse Anesthetist (Crna) 8820981640 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCHS Hospitals IncGroup PAC ID 5698071173, 1,195 clinicians
Lakeview Medical Center Inc of Rice LakeGroup PAC ID 6103737820, 168 clinicians
Beaver Dam Community Hospitals Inc.Group PAC ID 2567370539, 64 clinicians

Practice addresses (Care Compare)

1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511

1700 W Stout St
Rice Lake, WI 54868-5000
Phone (715) 236-6133

2310 Craig Rd
Eau Claire, WI 54701-6128
Phone (715) 858-8100

705 S University Ave
MMC Beaver Dam Medical Offices
Beaver Dam, WI 53916-3053
Phone (920) 887-7181

707 S University Ave
MMC Beaver Dam Hospital
Beaver Dam, WI 53916-3027
Phone (920) 887-7181

Hospital & facility affiliations

  • Marshfield Medical Center - Eau Claire Hospital, Eau Claire, WI, CCN 520210
  • Marshfield Medical Center - Rice Lake Hospital, Rice Lake, WI, CCN 520011

Merit-based Incentive Payment System (MIPS)

Final score
78.6 of 100Reported as group
Quality
56.02
Promoting interoperability
100
Improvement activities
40
Cost
72.66

Merit-based Incentive Payment System (MIPS)

Final score
80.58 of 100Reported as group
Quality
55.5
Promoting interoperability
100
Improvement activities
40
Cost
71.46

Merit-based Incentive Payment System (MIPS)

Final score
82.72 of 100Reported as group
Quality
64.71
Promoting interoperability
100
Improvement activities
40
Cost
65.56

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Oct 3, 2022 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Oct 3, 2022 Accepting new patients
Baycare Clinic LLP CurrentSince Sep 1, 2003 Accepting new patients
MCHS Hospitals Inc CurrentSince Mar 5, 2019 Accepting new patients
Memorial Hospital Inc CurrentSince Oct 3, 2022 Accepting new patients
Memorial Hospital Inc CurrentSince Oct 3, 2022 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Oct 3, 2022 Accepting new patients
Flambeau Hospital Inc Current Accepting new patients
MCHS Hospitals Inc CurrentSince Mar 5, 2019 Accepting new patients
Flambeau Hospital Inc CurrentSince Oct 3, 2022 Accepting new patients
Baycare Clinic LLP Current Accepting new patients
Nurse Anesthesia Professional Services LLC Nurse Anesthetist, Certified Registered PastSince Dec 15, 2024 Accepting new patients
Somnos, SC PastSince Jul 24, 2022 Accepting new patients

Locations

1818 N Meade St
Appleton, WI 54911
Phone (920) 731-4101

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

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

1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850

2845 Greenbrier Rd
Green Bay, WI 54311
Phone (920) 288-3388

2581 Development Dr
Green Bay, WI 54311
Phone (920) 347-0400

1035 Kepler Dr
Green Bay, WI 54311

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

1000 N Oak Ave
Ste 100
Marshfield, WI 54449
Phone (715) 221-8718

1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399

130 2nd St
Neenah, WI 54956
Phone (920) 729-2063

N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101

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

Interoperability endpoints

  • Direct secure messaging: him@marshfieldclinichealthsystem.cernerdirect.com

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 and National Provider Directory roles.

View all 14

Hospital & facility affiliations 2

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": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1578575239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3305 N BALLARD RD",
            "address_2": "STE A",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549119001",
            "telephone_number": "920-202-3363",
            "fax_number": "920-939-3827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2845 GREENBRIER RD",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543116519",
            "telephone_number": "920-288-3388",
            "fax_number": "920-288-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NETA",
        "first_name": "NYLE",
        "middle_name": "C",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WI",
            "license": "129657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44325000",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Other",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Other",
            "address_1": "1000 N Oak Ave",
            "city": "Marshfield",
            "state": "WI",
            "country_code": "US",
            "postal_code": "544495703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.