Active NPI
Patricia L Gump, MD
- Certified Registered Nurse Anesthetist
- Kennewick, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 103695
- Practice address
- 317 N Delaware St
Kennewick, WA 99336-7750 - Phone
- (509) 736-5550
- Fax
- (509) 737-8281
- NPI assigned
- Dec 15, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 103695 | WI | Primary |
Addresses
Primary practice location
317 N Delaware St
Kennewick, WA 99336-7750
Mailing address
3912 S Mercy Dr
Spokane Valley, WA 99206-8500
Phone (509) 254-3027
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43404400 | Medicaid | WI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | him@marshfieldclinichealthsystem.cernerdirect.com | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, MN
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1221 Whipple St
Eau Claire, WI 54703-5270
Phone (715) 838-3806
733 W Clairemont Ave
Eau Claire, WI 54701-6101
Phone (715) 838-5222
Hospital & facility affiliations
- Mayo Clinic Health System Eau Claire Hospital
- Essentia Health St Mary'S Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103695 | WI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. | Current | Accepting new patients | |
| The Duluth Clinic, LTD. | Current | Accepting new patients | |
| Mayo Clinic Health System-Northwest Wisconsin Region, Inc. | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Lakeview Medical Center Inc of Rice Lake | Current | Accepting new patients | |
| The Duluth Clinic, LTD | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. | Current | Accepting new patients | |
| Certified Anesthesia Care, Co. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Mayo Clinic Health System-Northwest Wisconsin Region, Inc. | Current | Accepting new patients | |
| Independent Surgery Center LLC | Current | Accepting new patients | |
| Marshfield Clinic Inc | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Mayo Clinic Health System-Northwest Wisconsin Region, Inc. | Current | Accepting new patients | |
| Anesthesia Associates, PS | Past | Accepting new patients | |
| Mayo Clinic Health System-Northwest Wisconsin Region, Inc. | Past | Accepting new patients | |
| Premier Anesthesia of Richland a Division of Premier Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Agnesian Healthcare Inc | Past | Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
9801 DuPont Ave S
Ste 100
Bloomington, MN 55431
1101 9th St N
Virginia, MN 55792
Phone (218) 305-0000
400 10th St E
Waconia, MN 55387
1000 Oakleaf Way
Altoona, WI 54720
Phone (715) 831-8130
2661 County Highway I
Chippewa Fls, WI 54729
Phone (715) 717-7200
2751 Commercial Blvd
Ste 7
Chippewa Fls, WI 54729
Phone (715) 738-1800
3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200
733 W Clairemont Ave
Eau Claire, WI 54701
Phone (715) 838-3806
1221 Whipple St
Eau Claire, WI 54703
Phone (715) 831-0100
1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111
2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074
1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133
Interoperability endpoints
- him@marshfieldclinichealthsystem.cernerdirect.com
Organizations & group practices 17
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.
-
- Multi-Specialty Clinic/Center
- Eau Claire, WI
- NPI 1235588831
-
- Clinic/Center
- Stevens Point, WI
- NPI 1144991340
-
- Certified Registered Nurse Anesthetist
- Stillwater, MN
- NPI 1699736348
Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- Chippewa Falls, WI
- NPI 1922316835
-
- Clinic/Center
- Rice Lake, WI
- NPI 1093201832
-
- Clinic/Center
- Marshfield, WI
- NPI 1952347981
-
- Clinic/Center
- Marshfield, WI
- NPI 1093221434
-
- General Acute Care Hospital
- Rhinelander, WI
- NPI 1356391247
-
- Rural Health Clinic/Center
- Mondovi, WI
- NPI 1174116669
-
- Multi-Specialty Clinic/Center
- Bloomer, WI
- NPI 1548796444
-
- Durable Medical Equipment & Medical Supplies
- Eau Claire, WI
- NPI 1558230847
-
- Anesthesiology Physician
- Duluth, MN
- NPI 1760417935
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Eau Claire, WI
- NPI 1629027578
-
- General Acute Care Hospital
- Duluth, MN
- NPI 1457393035
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668643200000",
"number": "1588640239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3912 S MERCY DR",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992068500",
"telephone_number": "509-254-3027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 N DELAWARE ST",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993367750",
"telephone_number": "509-736-5550",
"fax_number": "509-737-8281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUMP",
"first_name": "PATRICIA",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-15",
"last_updated": "2022-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WI",
"license": "103695",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43404400",
"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 Kennewick, WA
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.