Individual provider Active NPI

Wesley Scott Conn, CRNA

  • Certified Registered Nurse Anesthetist
  • Louisville, KY
National Provider Identifier
1699013656
Registry record updated Aug 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3007910 Issued in KY
Practice address
100 Mallard Creek Rd Ste 320
Louisville, KY 40207-5136
Phone
(502) 690-8782
Fax
(502) 459-0923
NPI assigned
Jan 26, 2013
Last updated
Aug 19, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 3007910 KY Primary
Registered Nurse 163W00000X 1109611 KY

Addresses

Primary practice location

100 Mallard Creek Rd Ste 320
Louisville, KY 40207-5136

Mailing address

55 Foundation Dr
Flemingsburg, KY 41041-9815
Phone (606) 849-5000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130416000134 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 0840436929 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Commonwealth Anesthesia, PSCGroup PAC ID 5092627521, 181 clinicians

Practice addresses (Care Compare)

310 S Limestone
Lexington, KY 40508-3008
Phone (859) 252-6612

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1109611KYMDRegistered Nurse
3007910KYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Anesthesia Group, PSC Nurse Anesthetist, Certified Registered CurrentSince Nov 5, 2019 Accepting new patients
Commonwealth Anesthesia, PSC Nurse Anesthetist, Certified Registered CurrentSince Jan 25, 2017 Accepting new patients
Riverside Anesthesia, PSC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2016 Accepting new patients
One Anesthesia PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesthesia Associates of Louisville, PSC Past Accepting new patients

Locations

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

4305 New Shepherdsville Rd
Bardstown, KY 40004
Phone (502) 350-5000

305 Estill St
Berea, KY 40403
Phone (859) 986-1415

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

55 Foundation Dr
Flemingsburg, KY 41041
Phone (606) 849-2351

1140 Lexington Rd
Georgetown, KY 40324
Phone (502) 868-1100

320 N Loretto Rd
Lebanon, KY 40033
Phone (270) 692-3161

1 Saint Joseph Dr
Lexington, KY 40504
Phone (502) 350-5000

1221 S Broadway
Lexington, KY 40504
Phone (859) 258-4181

150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773

2115 Harrodsburg Rd
Lexington, KY 40504
Phone (859) 276-2520

310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612

3475 Blazer Pkwy
Lexington, KY 40509
Phone (859) 514-0260

3480 Yorkshire Medical Park
#100
Lexington, KY 40509
Phone (859) 514-0260

1001 Saint Joseph Ln
London, KY 40741
Phone (606) 330-6000

2511 Terra Crossing Blvd
Louisville, KY 40245
Phone (502) 589-9488

989 Medical Park Dr
Maysville, KY 41056
Phone (606) 759-3112

225 Falcon Dr
Mt Sterling, KY 40353
Phone (859) 497-5000

1530 Lone Oak Rd
Paducah, KY 42003
Phone (270) 444-2444

9 Linville Dr
Paris, KY 40361
Phone (859) 987-3600

360 Amsden Ave
Versailles, KY 40383
Phone (606) 873-3111

175 Hospital Dr
Winchester, KY 40391
Phone (859) 745-3500

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1359158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439942400000",
    "number": "1699013656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 FOUNDATION DR",
            "city": "FLEMINGSBURG",
            "state": "KY",
            "postal_code": "410419815",
            "telephone_number": "606-849-5000",
            "fax_number": "606-849-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MALLARD CREEK RD STE 320",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402075136",
            "telephone_number": "502-690-8782",
            "fax_number": "502-459-0923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONN",
        "first_name": "WESLEY",
        "middle_name": "SCOTT",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-26",
        "last_updated": "2015-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "3007910",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1109611",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; 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.