Thomas Lamar Mouritsen

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

202100196CRNA Issued in ID

Practice address

118 E Haskell St
Winnemucca, NV 89445-3247

Phone

(775) 623-5222

NPI assigned

Jan 15, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NV, OR2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Saint Alphonsus Medical Center Baker City IncGroup PAC ID 4981732518, 15 clinicians

Grande Ronde Hospital IncGroup PAC ID 0547170789, 97 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Grande Ronde Hospital Hospital, La Grande, OR, CCN 381321
• St. Alphonsus Medical Center - Baker City Hospital, Baker City, OR, CCN 381315

Merit-based Incentive Payment System (MIPS)

Final score

56.26 of 100Reported as individual

Quality

44.99

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1523/brand/1/csg/23/fhir/r4

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.

• Grande Ronde Hospital, Inc.

  • Critical Access Hospital
  • La Grande, OR
  • NPI 1467446195

  OR

  Medicare reassignment Care Compare group NPD
• Saint Alphonsus Medical Center Baker City, Inc

  • Family Medicine Physician
  • Baker City, OR
  • NPI 1881726206

  Nurse Anesthetist, Certified Registered, OR

  Medicare reassignment Care Compare group NPD
• Humboldt General Hospital

  • Critical Access Hospital
  • Winnemucca, NV
  • NPI 1750498010

  NV

  Medicare reassignment NPD
• Humboldt General Hospital

  • Adult Medicine Physician
  • Winnemucca, NV
  • NPI 1922152784

  Nurse Anesthetist, Certified Registered, NV

  Medicare reassignment NPD
• Harney District Hospital

  • Critical Access Hospital
  • Burns, OR
  • NPI 1285742338

  OR

  Medicare reassignment NPD
• Wallowa County Health Care District

  • Critical Access Hospital Clinic/Center
  • Enterprise, OR
  • NPI 1447256250

  OR

  Medicare reassignment NPD
• Grande Ronde Hospital, Inc.

  • Rural Health Clinic/Center
  • La Grande, OR
  • NPI 1093296519
  Care Compare group NPD
• Saint Alphonsus Medical Center Baker City, Inc

  • Critical Access Hospital
  • Baker City, OR
  • NPI 1386636355
  Care Compare group NPD
• Wallowa County Health Care District

  • Critical Access Hospital
  • Enterprise, OR
  • NPI 1558366229

  OR

  Medicare reassignment
• Grande Ronde Hospital, Inc

  • Rural Health Clinic/Center
  • Elgin, OR
  • NPI 1043694342
  Care Compare group
• Grande Ronde Hospital, Inc

  • Home Health Agency
  • La Grande, OR
  • NPI 1285664037
  Care Compare group
• Grande Ronde Hospital, Inc

  • Medicare Defined Swing Bed Hospital Unit
  • La Grande, OR
  • NPI 1609980655
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Grande Ronde Hospital

  • Pediatrics Physician
  • La Grande, OR
  • NPI 1861434615

  Hospital

  Care Compare affiliation
• Grande Ronde Hospital Inc.

  • Obstetrics & Gynecology Physician
  • La Grande, OR
  • NPI 1972545895

  Hospital

  Care Compare affiliation
• Grande Ronde Hospital, Inc.

  • Primary Care Clinic/Center
  • La Grande, OR
  • NPI 1174553929

  Hospital

  Care Compare affiliation
• Grande Ronde Hospital, Inc.

  • Critical Access Hospital
  • La Grande, OR
  • NPI 1467446195

  Hospital

  Care Compare affiliation
• Saint Alphonsus Medical Center Baker City, Inc

  • Critical Access Hospital
  • Baker City, OR
  • NPI 1386636355

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1579046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1811537012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190930",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837190930",
            "telephone_number": "208-367-5170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 E HASKELL ST",
            "city": "WINNEMUCCA",
            "state": "NV",
            "postal_code": "894453247",
            "telephone_number": "775-623-5222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3325 Pocahontas Rd",
            "address_purpose": "LOCATION",
            "city": "Baker City",
            "state": "OR",
            "postal_code": "978141464",
            "country_code": "US",
            "telephone_number": "541-523-1797",
            "fax_number": "541-523-1799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOURITSEN",
        "first_name": "THOMAS",
        "middle_name": "LAMAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-15",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ID",
            "license": "202100196CRNA",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NV",
            "license": "826747",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephany McKellip
• Merleen Grover Aprn, CNM LC
• Sarah Miles
• Krystal Nicole Mitchell
• Rufus Edwin Mohr, CRNA
• My Hearing Centers, LLC
• NA
• Tiffani Nalivka, MS, RD
• Nate Swensen DMD LLC
• National Birth Centers, Inc.

• All providers in Winnemucca, NV
• Certified Registered Nurse Anesthetist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; 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.