Advanced Anesthesia Services, PLLC
Organization Active NPI Certified Registered Nurse Anesthetist · Bellevue, WA
NPI 1700211786 · NPPES record last updated Sep 9, 2021
Key facts
- NPI
- 1700211786
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- AP30006926 (WA)
- Legal business name
- ADVANCED ANESTHESIA SERVICES, PLLC
- Practice address
- 1260 116TH Ave NE Ste 110
Bellevue, WA 98004-3800 - Phone
- (206) 330-6722
- Fax
- (425) 256-3250
- NPI assigned
- Sep 9, 2013
- Organization subpart
- No
Authorized official
- Name
- Allyn D. Wilcock, CRNA
- Title
- Owner
- Phone
- (425) 615-6100
Practitioners 57
-
Allyn D. Wilcock, CRNA
-
Jacob D Boston, CRNA
-
Mary Kathryn Edwards, MS CRNA
-
Robert Edwards, CRNA
-
Mariya I Fair, RN
-
Gail Ann Harris, RN
-
Heather Renee Hill, CRNA
-
Bradley Allen Johnson, CRNA
-
Austin Howard McKinley, CRNA
-
Carlton K. McQueen, M.D.
-
Hiroko Miura, CRNA
-
Lore E Poteet, CRNA
-
Sean Saldanha, CRNA
-
Daniel Vinyar, CRNA
-
Kelsey Jane Hinds, CRNA
-
James Raymond Kiffmeyer, CRNA
-
Tho Le, CRNA
-
Lee Aaron McMillan, DNP, CRNA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170209001384 | WA | Part B Supplier - Clinic/Group Practice | 6608159017 |
Receives reassigned benefits from 54 practitioners Practice locations: Bellingham, WA; Tumwater, WA; Seattle, WA; Renton, WA; Puyallup, WA; Issaquah, WA; Everett, WA |
National Provider Directory
Locations
710 Birchwood Ave
Ste 101
Bellingham, WA 98225
Phone (360) 626-0922
3726 Broadway
Ste 206
Everett, WA 98201
Phone (425) 374-5160
3100 Carillon Pt
Kirkland, WA 98033
Phone (425) 576-1700
1610 Bishop Rd SW
Tumwater, WA 98512
Phone (360) 754-3338
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist |
367500000X | AP30006926 | WA | Yes |
Addresses
Primary practice location
1260 116TH Ave NE Ste 110
Bellevue, WA 98004-3800
Mailing address
35302 SE Center St
Snoqualmie, WA 98065-9216
Phone (425) 615-6100
Other practice location 1
450 NW Gilman Blvd Ste 303
Issaquah, WA 98027-2483
Phone (425) 615-6100
Other practice location 2
155 Lilly Rd NE Ste B
Olympia, WA 98506-5028
Phone (425) 615-6100
Other practice location 3
1145 Broadway
Seattle, WA 98122-4201
Phone (425) 615-6100
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All providers in Bellevue, WA · Certified Registered Nurse Anesthetist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2021. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.