Individual provider Active NPI

Taryn Wiedner, CRNA

  • Certified Registered Nurse Anesthetist
  • Portland, ME
National Provider Identifier
1720570138
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RNA203065 Issued in ME
Practice address
22 Bramhall St
Portland, ME 04102-3175
Phone
(206) 662-0111
NPI assigned
May 31, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Certified Registered Nurse Anesthetist 367500000X RNA203065 ME Primary

Addresses

Primary practice location

22 Bramhall St
Portland, ME 04102-3175

Mailing address

24 Callisa LN
Gorham, ME 04038-2351
Phone (515) 577-4794

Other practice location 1

716 Stevens Ave
Portland, ME 04103-2693
Phone (207) 283-0171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201105002787 ME Practitioner - Certified Registered Nurse Anesthetist (Crna) 6305256199
I20250521002972 IA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6305256199 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
M and M Anesthesia LLCGroup PAC ID 2961823596, 18 clinicians
The Iowa Clinic PCGroup PAC ID 4082513742, 307 clinicians

Practice addresses (Care Compare)

1455 29TH St
West Des Moines, IA 50266-1302
Phone (785) 341-0418

5950 University Ave
Suite 180
West Des Moines, IA 50266-8234
Phone (515) 875-9100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RNA203065MEMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
The Iowa Clinic, PC CurrentSince Jun 2, 2025 Accepting new patients
Hamilton County Public Hospital Current Accepting new patients
Franklin General Hospital Current Accepting new patients
The Iowa Clinic PC CurrentSince Jun 2, 2025 Accepting new patients
Hamilton County Public Hospital CurrentSince Mar 1, 2025 Accepting new patients
Knoxville Community Hospital Inc CurrentSince Jun 1, 2025 Accepting new patients
M & M Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince May 5, 2025 Accepting new patients
Hamilton County Public Hospital Current Accepting new patients
Mainehealth Current Accepting new patients
Mainehealth CurrentSince Oct 5, 2020 Accepting new patients
Mainehealth CurrentSince Oct 5, 2020 Accepting new patients
Knoxville Community Hospital Inc Current Accepting new patients
Knoxville Community Hospital Inc Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2025 Accepting new patients
Hamliton County Public Hospital CurrentSince Mar 1, 2025 Accepting new patients

Locations

717 Lyon St
Des Moines, IA 50309
Phone (515) 261-4738

2963 Northgate Dr
Iowa City, IA 52245
Phone (319) 248-1500

1002 S Lincoln St
Knoxville, IA 50138
Phone (641) 842-1464

1750 Jordan St
North Liberty, IA 52317
Phone (319) 569-3444

1005 Pennsylvania Ave
Ste 102A
Ottumwa, IA 52501
Phone (641) 684-2589

5950 University Ave
Ste 180
West Des Moines, IA 50266
Phone (515) 875-9145

1300 37th St
West Des Moines, IA 50266
Phone (515) 224-4711

1455 29th St
West Des Moines, IA 50266
Phone (515) 267-1800

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 14

Hospital & facility affiliations 2

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": "1527724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1720570138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 CALLISA LN",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040382351",
            "telephone_number": "515-577-4794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 BRAMHALL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023175",
            "telephone_number": "206-662-0111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "716 Stevens Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041032693",
            "country_code": "US",
            "telephone_number": "207-283-0171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIEDNER",
        "first_name": "TARYN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-31",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ME",
            "license": "RNA203065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; 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.