Individual provider Active NPI

Andrew Carlson, CRNA

  • Certified Registered Nurse Anesthetist
  • Grand Island, NE
National Provider Identifier
1659663185
Registry record updated May 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
101159 Issued in NE
Practice address
3610 Richmond Cir
Grand Island, NE 68803-3927
Phone
(308) 384-6400
NPI assigned
May 2, 2011
Last updated
May 2, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2011

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 101159 NE Primary

Addresses

Primary practice location

3610 Richmond Cir
Grand Island, NE 68803-3927

Mailing address

PO Box 5524
Grand Island, NE 68802-5524

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110524000047 NE Practitioner - Certified Registered Nurse Anesthetist (Crna) 2860678000 Reassigns benefits to 12 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbus Community Hospital IncGroup PAC ID 7517954944, 86 clinicians
North Platte Surgery Center Anesthesia LLCGroup PAC ID 6709969751, 20 clinicians

Practice addresses (Care Compare)

4600 38TH St
Columbus, NE 68601-1664
Phone (402) 564-7118

621 W Francis St
North Platte, NE 69101-0608
Phone (308) 534-8800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2061MNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Faith Regional Physician Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2020 Accepting new patients
CHI Health Clinic Physician Enterprise-Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2018 Accepting new patients
The Mary Lanning Memorial Hospital Association CurrentSince Aug 1, 2022 Accepting new patients
Phelps Memorial Health Center CurrentSince Oct 18, 2024 Accepting new patients
Columbus Community Hospital Inc Nurse Anesthetist, Certified Registered CurrentSince Mar 30, 2012 Accepting new patients
Faith Regional Physician Services, LLC CurrentSince Dec 1, 2020 Accepting new patients
North Platte Surgery Center Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 20, 2024 Accepting new patients
Alegent Health Memorial Hospital Schuyler CurrentSince May 17, 2024 Accepting new patients
Phelps Memorial Health Center Nurse Anesthetist, Certified Registered CurrentSince Oct 18, 2024 Accepting new patients
Alegent Creighton Clinic CurrentSince Feb 19, 2018 Accepting new patients
Phelps Memorial Health Center Current Accepting new patients
Alegent Health Memorial Hospital, Schuyler CurrentSince May 17, 2024 Accepting new patients
The Mary Lanning Memorial Hospital Association CurrentSince Aug 1, 2022 Accepting new patients
Greater Siouxland Anesthesiology & Pain Prof LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2024 Accepting new patients
Columbus Community Hospital Inc CurrentSince Mar 30, 2012 Accepting new patients
North Platte Surgery Center LLC Current Accepting new patients
CHI Health Clinic Physician Enterprise-Anesthesia LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Alegent Creighton Clinic Past Accepting new patients

Locations

2771 Solution Ctr
Chicago, IL 60677

400 10th St E
Waconia, MN 55387

3772 43rd Ave
Ste B
Columbus, NE 68601
Phone (402) 562-8795

4600 38th St
Columbus, NE 68601
Phone (402) 562-3333

372 S 9th St
David City, NE 68632
Phone (402) 367-1200

3610 Richmond Cir
Grand Island, NE 68803
Phone (308) 382-6856

715 N Saint Joseph Ave
Hastings, NE 68901
Phone (402) 461-5036

1215 Tibbals St
Holdrege, NE 68949
Phone (308) 995-2211

47452 268 Ave
Ste C
Humphrey, NE 68642
Phone (402) 923-0150

2700 W Norfolk Ave
Norfolk, NE 68701
Phone (402) 644-7131

2600 W Norfolk Ave
Ste 200
Norfolk, NE 68701
Phone (402) 844-8194

601 W Leota St
North Platte, NE 69101
Phone (308) 534-2288

621 W Francis St
North Platte, NE 69101
Phone (308) 534-8800

7500 Mercy Rd
Ste 1355
Omaha, NE 68124
Phone (402) 717-4866

16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920

104 W 17th St
Schuyler, NE 68661
Phone (402) 352-2441

1721 Colfax St
Schuyler, NE 68661
Phone (402) 352-3745

201 E 4th St
South Sioux City, NE 68776
Phone (402) 412-2160

Organizations & group practices 20

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 20

Hospital & facility affiliations 1

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": "1304294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304294400000",
    "number": "1659663185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5524",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688025524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 RICHMOND CIR",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688033927",
            "telephone_number": "308-384-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "ANDREW",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-02",
        "last_updated": "2011-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NE",
            "license": "101159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2011; 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.