Hampton Bisalski, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Brighton, CO
NPI 1669423935 · NPPES record last updated Jul 16, 2010
Key facts
- NPI
- 1669423935
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- RN-129854 (CO)
- Practice address
- 13330 Dillon St
Brighton, CO 80601-7200 - Phone
- (970) 380-0717
- Fax
- (303) 659-9579
- NPI assigned
- May 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 9
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aero Anesthesia, PLLC
Practice addresses (Care Compare)
401 Sewell Dr
Sparta, TN 38583-1223
Phone (931) 738-2164
Hospital & facility affiliations
- Saint Thomas Highlands Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090223000624 | TN | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 6204806375 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9226 | TN | MD | Physical Therapist |
| RN-129854 | CO | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aero Anesthesia, PLLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Medstream Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Cornerstone Anesthesia Group, PLLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Colorado Personnel Resources Inc | Past | Accepting new patients | |
| Giles County Anesthesia PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Clinical Partners PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Anesthesia Services of Platte Valley Prof LLC | Past | Accepting new patients | |
| Sterling Regional Medcenter | Past | Accepting new patients | |
| Mid West Anesthesia Consultants LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
421 S Main St
Crossville, TN 38555
Phone (931) 260-1465
315 Oak St
Livingston, TN 38570
Phone (931) 403-1197
1559 Sparta St
McMinnville, TN 37110
Phone (615) 406-9544
401 Sewell Dr
Sparta, TN 38583
Phone (931) 738-2164
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN-129854 | CO | Yes |
Addresses
Primary practice location
13330 Dillon St
Brighton, CO 80601-7200
Mailing address
13330 Dillon St
Brighton, CO 80601-7200
Phone (970) 380-0717
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 79982352 | Medicaid | CO |
Other providers in Brighton, CO
- Hayley Rose Bermudez
- Berrelez Counseling LLC
- Jennifer S. Betz
- Kerry Slade Bigelow
- Alois Joseph Binder III
- Martina Bjorhus
- Carolyn Lastra Black
- Blanca Richmond-Coca MD PC
- Bliss Hearing Solutions, LLC.
- Blue Ribbon Hearing, LLC
All providers in Brighton, CO · Certified Registered Nurse Anesthetist in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.