Active NPI
David N. Olsen, CRNA
- Certified Registered Nurse Anesthetist
- Afton, WY
National Provider Identifier
1770517344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 20982.782
- Practice address
- 110 Hospital Lane
Afton, WY 83110 - Phone
- (307) 558-5800
- NPI assigned
- Jul 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 20982.782 | WY | Primary |
Addresses
Primary practice location
110 Hospital Lane
Afton, WY 83110
Mailing address
901 Adams St
Afton, WY 83110-9621
Phone (307) 886-0111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 118699000 | Medicaid | WY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20982.782 | WY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West River Anesthesiology Consultants PC | Past | Accepting new patients | |
| North Lincoln County Hospital District | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Critical Access Hospital
- Afton, WY
- NPI 1255376406
-
- Anesthesiology Physician
- Rapid City, SD
- NPI 1396775284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477353600000",
"number": "1770517344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 ADAMS ST",
"city": "AFTON",
"state": "WY",
"postal_code": "831109621",
"telephone_number": "307-886-0111",
"fax_number": "307-886-5799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 HOSPITAL LANE",
"city": "AFTON",
"state": "WY",
"postal_code": "83110",
"telephone_number": "307-558-5800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSEN",
"first_name": "DAVID",
"middle_name": "N.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2016-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WY",
"license": "20982.782",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "118699000",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Afton, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.