Active NPI
Andrew Sacquitne
- Certified Registered Nurse Anesthetist
- Iowa City, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 10167-33
- Practice address
- 200 Hawkins Dr
Iowa City, IA 52242-1009 - Phone
- (319) 356-1616
- NPI assigned
- Apr 10, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 10167-33 | WI | Primary |
Addresses
Primary practice location
200 Hawkins Dr
Iowa City, IA 52242-1009
Mailing address
424 6TH Ave Apt 407
Coralville, IA 52241-2365
Phone (563) 379-4131
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200926000161 | WI | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 8325467244 | Reassigns benefits to 5 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Nurse Anesthesia Professional Services LLCPrairie Ridge Health Inc
Practice addresses (Care Compare)
1077 W Mason St
Green Bay, WI 54303-1858
Phone (920) 497-1810
1515 Park Ave
Columbus, WI 53925-1618
Phone (920) 623-2200
Hospital & facility affiliations
- Columbus Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prairie Ridge Health, Inc. | Current | Accepting new patients | |
| Edgerton Hospital and Health Services Inc. | Current | Accepting new patients | |
| Edgerton Hospital and Health Services, Inc | Current | Accepting new patients | |
| Prairie Ridge Health, Inc. | Current | Accepting new patients | |
| Prairie Ridge Health, Inc. | Current | Accepting new patients | |
| Sacquitne Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Prairie Ridge Health Inc. | Current | Accepting new patients | |
| Prairie Ridge Health, Inc. | Current | Accepting new patients | |
| Nurse Anesthesia Professional Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
1515 Park Ave
Columbus, WI 53925
Phone (920) 623-1200
11101 N Sherman Rd
Edgerton, WI 53534
Phone (608) 884-1695
277 N Altenhofen Dr
Grand Chute, WI 54913
Phone (920) 212-3609
1077 W Mason St
Green Bay, WI 54303
Phone (920) 497-1810
831 Arthur Dr
Milton, WI 53563
Phone (608) 868-3526
425 S Commercial St
Neenah, WI 54956
Phone (920) 725-0700
Organizations & group practices 10
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.
-
- Certified Registered Nurse Anesthetist
- Green Bay, WI
- NPI 1992066518
Nurse Anesthetist, Certified Registered, WI
-
- Certified Registered Nurse Anesthetist
- Columbus, WI
- NPI 1609653013
Nurse Anesthetist, Certified Registered
-
- Medicare Defined Swing Bed Hospital Unit
- Columbus, WI
- NPI 1750467098
-
- Urgent Care Clinic/Center
- Whitewater, WI
- NPI 1982496295
-
- Family Medicine Physician
- Sun Prairie, WI
- NPI 1699534545
-
- Primary Care Clinic/Center
- Marshall, WI
- NPI 1477005544
-
- Orthopaedic Surgery Physician
- Columbus, WI
- NPI 1912329335
Hospital & facility affiliations 3
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": "1523318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629849600000",
"number": "1649777293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "424 6TH AVE APT 407",
"city": "CORALVILLE",
"state": "IA",
"postal_code": "522412365",
"telephone_number": "563-379-4131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HAWKINS DR",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522421009",
"telephone_number": "319-356-1616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SACQUITNE",
"first_name": "ANDREW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-10",
"last_updated": "2021-08-25",
"certification_date": "2021-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WI",
"license": "10167-33",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.