Individual provider Active NPI

Christopher Lee Erkkila, CRNA

  • Certified Registered Nurse Anesthetist
  • Mauston, WI
National Provider Identifier
1720037369
Registry record updated Nov 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
5769 Issued in WI
Practice address
1050 Division St
Mauston, WI 53948
Phone
(608) 847-6161
NPI assigned
May 10, 2006
Last updated
Nov 8, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5769-33 WI
Certified Registered Nurse Anesthetist 367500000X 5769 WI Primary

Addresses

Primary practice location

1050 Division St
Mauston, WI 53948

Mailing address

1050 Division St
Mauston, WI 53948-1931
Phone (608) 847-6161

Other practice location 1

1061 Harmon Ave
Fort Stewart, GA 31314-5641
Phone (912) 435-6008

Other practice location 2

400 Water Ave
Hillsboro, WI 54634-9054
Phone (608) 489-8000

Other identifiers 3

IdentifierTypeStateIssuer
596284304CMedicaidGA
596284304GMedicaidGA
596284304DMedicaidGA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140530000005 WI Practitioner - Certified Registered Nurse Anesthetist (Crna) 2466525241 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mile Bluff Medical Center IncGroup PAC ID 8527971399, shared by 11 NPIs, 87 clinicians
Cumberland Memorial Hospital IncGroup PAC ID 7719889203, shared by 4 NPIs, 19 clinicians

Practice addresses (Care Compare)

1040 Division St
Mauston, WI 53948-1931
Phone (608) 847-1852

1050 Division St
Mauston, WI 53948-1931

1705 16TH Ave
Cumberland, WI 54829-8601
Phone (715) 822-7222

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5769WIMDDentist
5769-33WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph's Health Services, Inc. CurrentSince Aug 15, 2019 Accepting new patients
Divine Savior Healthcare, Inc. CurrentSince Dec 1, 2018 Accepting new patients
Divine Savior Healthcare, Inc. CurrentSince Dec 1, 2018 Accepting new patients
Mile Bluff Medical Center Inc CurrentSince May 15, 2014 Accepting new patients
Mile Bluff Medical Center Inc Current Accepting new patients
St. Joseph's Health Services, Inc. CurrentSince Aug 15, 2019 Accepting new patients
Mile Bluff Medical Center Inc Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2019 Accepting new patients
Mile Bluff Medical Center Inc Nurse Anesthetist, Certified Registered CurrentSince May 15, 2014 Accepting new patients
Colquitt Regional Health Incorporated Past Accepting new patients
Memorial Health Anesthetists Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

1040 Division St
Mauston, WI 53948
Phone (608) 847-5000

1050 Division St
Mauston, WI 53948
Phone (608) 847-6161

2817 New Pinery Rd
Portage, WI 53901
Phone (608) 745-4598

28 Commerce St
Wisconsin Dells, WI 53965
Phone (608) 254-5888

Organizations & group practices 10

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 3

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573171200000",
    "number": "1720037369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 DIVISION ST",
            "city": "MAUSTON",
            "state": "WI",
            "postal_code": "539481931",
            "telephone_number": "608-847-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 DIVISION ST",
            "city": "MAUSTON",
            "state": "WI",
            "postal_code": "53948",
            "telephone_number": "608-847-6161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1061 Harmon Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Stewart",
            "state": "GA",
            "postal_code": "313145641",
            "country_code": "US",
            "telephone_number": "912-435-6008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Water Ave",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "WI",
            "postal_code": "546349054",
            "country_code": "US",
            "telephone_number": "608-489-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERKKILA",
        "first_name": "CHRISTOPHER",
        "middle_name": "LEE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2019-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "5769-33",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WI",
            "license": "5769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "596284304C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "596284304G",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "596284304D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mauston, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; 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.