Individual provider Active NPI

Hampton Bisalski, CRNA

  • Certified Registered Nurse Anesthetist
  • Brighton, CO
National Provider Identifier
1669423935
Registry record updated Jul 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN-129854 Issued in CO
Practice address
13330 Dillon St
Brighton, CO 80601-7200
Phone
(970) 380-0717
Fax
(303) 659-9579
NPI assigned
May 12, 2006
Last updated
Jul 16, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2010

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 RN-129854 CO Primary

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 1

IdentifierTypeStateIssuer
79982352MedicaidCO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090223000624 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 6204806375 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aero Anesthesia, PLLCGroup PAC ID 3577552553, 4 clinicians

Practice addresses (Care Compare)

401 Sewell Dr
Sparta, TN 38583-1223
Phone (931) 738-2164

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9226TNMDOrthopedic Physical Therapist
RN-129854COMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Aero Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2009 Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Oct 6, 2021 Accepting new patients
Cornerstone Anesthesia Group, PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 27, 2020 Accepting new patients
Clinical Partners PA Nurse Anesthetist, Certified Registered Past Accepting new patients
Giles County Anesthesia PC Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesthesia Services of Platte Valley Prof LLC Past Accepting new patients
Mid West Anesthesia Consultants LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Sterling Regional Medcenter Past Accepting new patients
Colorado Personnel Resources Inc 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

1265 E College St
Pulaski, TN 38478
Phone (931) 363-7531

1265 E College St
Ste 151
Pulaski, TN 38478
Phone (615) 363-9422

401 Sewell Dr
Sparta, TN 38583
Phone (931) 738-2164

Organizations & group practices 9

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.

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279238400000",
    "number": "1669423935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13330 DILLON ST",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806017200",
            "telephone_number": "970-380-0717",
            "fax_number": "303-659-9579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13330 DILLON ST",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806017200",
            "telephone_number": "970-380-0717",
            "fax_number": "303-659-9579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISALSKI",
        "first_name": "HAMPTON",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2010-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CO",
            "license": "RN-129854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "79982352",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; 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.