Individual provider Active NPI

Jay H Gassman, CRNA

  • Certified Registered Nurse Anesthetist
  • Price, UT
National Provider Identifier
1720193956
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
199347-4406 Issued in UT
Practice address
300 N Hospital Dr
Price, UT 84501-4218
Phone
(800) 748-4868
Fax
(801) 733-5872
NPI assigned
Aug 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 199347-4406 UT Primary

Addresses

Primary practice location

300 N Hospital Dr
Price, UT 84501-4218

Mailing address

422 Canyon View Dr
Pleasant Grove, UT 84062-4571
Phone (801) 796-3546

Other identifiers 7

IdentifierTypeStateIssuer
76565OtherUTPEHP
107008681104OtherUTIHC
343841OtherUTDESERET MUTUAL
7561OtherUTHEALTHY U
PRA02133OtherUTMOLINA
2000575OtherUTUNITED HEALTHCARE
QM0000076612OtherUTALTIUS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050908000535 UT Practitioner - Certified Registered Nurse Anesthetist (Crna) 2668404823 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Anesthesia Associates, LLCGroup PAC ID 0648175455, 6 clinicians

Practice addresses (Care Compare)

300 N Hospital Dr
Castleview Hospital
Price, UT 84501-4200
Phone (435) 637-4800

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ashley Valley Physician Practice LLC CurrentSince Feb 26, 2024 Accepting new patients
Central Utah Anesthesia LC CurrentSince Mar 10, 2003 Accepting new patients
Ashley Valley Physician Practice, LLC Current Accepting new patients
Ashley Valley Physician Practice, LLC CurrentSince Feb 26, 2024 Accepting new patients
Riverwoods Anesthesia PLLC CurrentSince Nov 15, 2022 Accepting new patients
Eastern Utah Surgical Center Past Accepting new patients
Eastern Utah Surgical Center Past Accepting new patients

Locations

640 W 800 N
Orem, UT 84057
Phone (801) 356-6002

300 N Hospital Dr
Price, UT 84501
Phone (435) 636-4836

560 W 465 N
Ste 604
Providence, UT 84332
Phone (435) 753-1600

1067 N 500 W
Provo, UT 84604
Phone (801) 356-6002

320 River Park Dr
Ste 195
Provo, UT 84604
Phone (801) 375-8064

150 W 100 N
Vernal, UT 84078
Phone (435) 789-3342

175 N 100 W
Ste 104
Vernal, UT 84078
Phone (435) 781-3053

Organizations & group practices 8

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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720193956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 CANYON VIEW DR",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840624571",
            "telephone_number": "801-796-3546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N HOSPITAL DR",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "845014218",
            "telephone_number": "800-748-4868",
            "fax_number": "801-733-5872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASSMAN",
        "first_name": "JAY",
        "middle_name": "H",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "UT",
            "license": "199347-4406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEHP",
            "identifier": "76565",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHC",
            "identifier": "107008681104",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DESERET MUTUAL",
            "identifier": "343841",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHY U",
            "identifier": "7561",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA",
            "identifier": "PRA02133",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2000575",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALTIUS",
            "identifier": "QM0000076612",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Price, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.