Todd Clark Van Horn, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

55043 Issued in KS

Practice address

115 E 52ND St
Kearney, NE 68847-0502

Phone

(308) 236-5506

Fax

(308) 236-7089

NPI assigned

Oct 13, 2006

Last updated

Jan 11, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kearney Anesthesia Associates PCGroup PAC ID 9335132141, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• CHI Health Good Samaritan Hospital, Kearney, NE, CCN 280009

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Kearney Anesthesia Associates PC

  • Certified Registered Nurse Anesthetist
  • Kearney, NE
  • NPI 1578593752

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Rock County Hospital

  • Critical Access Hospital
  • Bassett, NE
  • NPI 1710982194
  Medicare reassignment NPD
• Doctors Anesthesia Group, P.C.

  • Anesthesiology Physician
  • Kearney, NE
  • NPI 1629182936
  NPD (past)
• Geary Anesthesia Associates PA

  • Certified Registered Nurse Anesthetist
  • Fort Riley, KS
  • NPI 1225128150

  Nurse Anesthetist, Certified Registered

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Good Samaritan Hospital

  dba CHI Health Richard Young Behavioral Health

  • Psychiatric Hospital Unit
  • Kearney, NE
  • NPI 1114942869
  Care Compare affiliation
• Good Samaritan Hospital

  dba CHI Health Good Samaritan

  • General Acute Care Hospital
  • Kearney, NE
  • NPI 1336184019
  Care Compare affiliation

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263168000000",
    "number": "1699865303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1771",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688481771",
            "telephone_number": "308-236-5506",
            "fax_number": "308-236-7089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E 52ND ST",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688470502",
            "telephone_number": "308-236-5506",
            "fax_number": "308-236-7089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN HORN",
        "first_name": "TODD",
        "middle_name": "CLARK",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2010-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "55043",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NE",
            "license": "101021",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100413860B",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47068752615",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dulce Valdez Espinoza
• Danielle Cheree Valenti, CCC-SLP
• Dana Valenzuela
• Guadalupe Veronica Valerio-Ruiz
• Valley Pharmacy Inc
• Jerry Alan Van Winkle, PSY.D.
• Matthew Fong Vang
• Melinda M Vankooten, NP-BC
• Adriana Vasquez
• Amanda Ranee Vasquez

• Certified Registered Nurse Anesthetist in Kearney, NE
• Providers in Kearney, NE by specialty
• Certified Registered Nurse Anesthetist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.