Active NPI
Benjamin Althuisius, CRNA
- Certified Registered Nurse Anesthetist
- Fort Leonard Wood, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- C003209
- Practice address
- 4430 Missouri Ave
Fort Leonard Wood, MO 65473-9098 - Phone
- (573) 596-0417
- NPI assigned
- Aug 22, 2017
- Last updated
- Dec 29, 2022
- 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 | C003209 | AR | Primary |
Addresses
Primary practice location
4430 Missouri Ave
Fort Leonard Wood, MO 65473-9098
Mailing address
103 Charleston Way
Saint Robert, MO 65584-7839
Phone (479) 747-2586
Other practice location 1
1000 W 10th St
Rolla, MO 65401-2905
Phone (573) 458-8899
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR, MO, AK
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Hospital Dr
Lebanon, MO 65536-9210
Phone (417) 553-6059
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C003209 | AR | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Phelps County Regional Medical Center | Current | Accepting new patients | |
| McKinley Orthopedic and Sports Medicine, LLC | Current | Accepting new patients | |
| Ozark Anesthesia Associates, Inc. | Current | Accepting new patients | |
| Phelps County Regional Medical Center | Current | Accepting new patients | |
| Premier Anesthesia of Arkansas Professional Corporation | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Mercy Clinic Springfield Communities | Current | Accepting new patients |
Locations
3745 Geist Rd
Fairbanks, AK 99709
Phone (907) 456-1112
3215 N Northhills Blvd
Fayetteville, AR 72703
Phone (479) 463-1000
2655 Northwinds Pkwy
Alpharetta, GA 30009
Phone (678) 690-7804
100 Hospital Dr
Lebanon, MO 65536
Phone (417) 533-6010
1000 W 10th St
Rolla, MO 65401
Phone (573) 364-9000
1050 W 10th St
Rolla, MO 65401
Phone (573) 364-9000
1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379
1605 Martin Springs Dr
Ste 330
Rolla, MO 65401
Phone (573) 458-6379
1000 E Primrose St
Ste 520
Springfield, MO 65807
Phone (417) 269-4557
3801 S National Ave
Springfield, MO 65807
Phone (417) 269-4056
Organizations & group practices 7
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.
-
dba Mercy Clinic Family Medicine-Willow Springs
- Rural Health Clinic/Center
- Willow Springs, MO
- NPI 1972771657
-
- Anesthesiology Physician
- Springfield, MO
- NPI 1831109586
-
- Orthopaedic Surgery Physician
- Fairbanks, AK
- NPI 1760938021
-
- Anesthesiology Physician
- Fayetteville, AR
- NPI 1932519485
Nurse Anesthetist, Certified Registered
-
- Family Medicine Physician
- Hollister, MO
- NPI 1053350454
-
dba Phelps Health Medical Group
- Rural Health Clinic/Center
- Rolla, MO
- NPI 1366066037
-
dba Phelps Health
- General Acute Care Hospital
- Rolla, MO
- NPI 1891766051
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lebanon, MO
- NPI 1447284898
-
- General Acute Care Hospital
- Rolla, MO
- NPI 1740413988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672272000000",
"number": "1669998530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 CHARLESTON WAY",
"city": "SAINT ROBERT",
"state": "MO",
"postal_code": "655847839",
"telephone_number": "479-747-2586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4430 MISSOURI AVE",
"city": "FORT LEONARD WOOD",
"state": "MO",
"postal_code": "654739098",
"telephone_number": "573-596-0417"
}
],
"practiceLocations": [
{
"address_1": "1000 W 10th St",
"address_purpose": "LOCATION",
"city": "Rolla",
"state": "MO",
"postal_code": "654012905",
"country_code": "US",
"telephone_number": "573-458-8899",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALTHUISIUS",
"first_name": "BENJAMIN",
"name_prefix": "Dr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-22",
"last_updated": "2022-12-29",
"certification_date": "2022-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AR",
"license": "C003209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Leonard Wood, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.