Individual provider Active NPI

Nicholas L Rabe, CRNA

  • Certified Registered Nurse Anesthetist
  • Hillsboro, WI
National Provider Identifier
1851638118
Registry record updated May 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
6679 Issued in WI
Practice address
400 Water Ave
Hillsboro, WI 54634
Phone
(608) 489-8000
NPI assigned
Jan 7, 2013
Last updated
May 18, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 041382954 IL
Certified Registered Nurse Anesthetist 367500000X 6679 WI Primary

Addresses

Primary practice location

400 Water Ave
Hillsboro, WI 54634

Mailing address

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

Other practice location 1

111 Spring Street
Streator, IL 61364-2311
Phone (815) 673-2311

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150713001360 WI Practitioner - Certified Registered Nurse Anesthetist (Crna) 8022254424 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ias Illinois PCGroup PAC ID 9638530991, 79 clinicians

Practice addresses (Care Compare)

1969 W Hart Rd
Beloit, WI 53511-2230
Phone (608) 364-5011

4602 Eastpark Blvd
Madison, WI 53718-2002
Phone (608) 440-6400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041382954ILMDCertified Registered Nurse Anesthetist
6679WIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Prairie Ridge Health, Inc. CurrentSince Mar 1, 2018 Accepting new patients
St. Joseph's Health Services, Inc. Current Accepting new patients
Divine Savior Healthcare, Inc. CurrentSince Jan 1, 2019 Accepting new patients
Prairie Ridge Health, Inc. Current Accepting new patients
Ias Illinois PC CurrentSince Feb 1, 2025 Accepting new patients
Priority Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 7, 2018 Accepting new patients
Wisconsin Spine and Pain SC CurrentSince Oct 1, 2021 Accepting new patients
Divine Savior Healthcare, Inc. CurrentSince Jan 1, 2019 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Nov 4, 2019 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Nov 4, 2019 Accepting new patients
Stoughton Hospital Association CurrentSince Jan 20, 2018 Accepting new patients
Prairie Ridge Health Inc. CurrentSince Mar 1, 2018 Accepting new patients
St. Joseph's Health Services, Inc. CurrentSince May 12, 2018 Accepting new patients
Wisconsin Spine and Pain SC CurrentSince Oct 1, 2021 Accepting new patients
Stoughton Hospital Association CurrentSince Jan 20, 2018 Accepting new patients
Anesthesia Partners Services, S.C. CurrentSince Jul 16, 2018 Accepting new patients
St. Joseph's Health Services, Inc CurrentSince May 12, 2018 Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

Dept CH 17057
Palatine, IL 60055

1616 N Casaloma Dr
#100
Appleton, WI 54913

1969 W Hart Rd
Beloit, WI 53511
Phone (608) 364-5011

1515 Park Ave
Columbus, WI 53925
Phone (920) 623-1200

11101 N Sherman Rd
Edgerton, WI 53534
Phone (608) 884-1695

611 Sherman Ave E
Fort Atkinson, WI 53538
Phone (920) 563-6667

6495 S 27th St
Franklin, WI 53132
Phone (414) 574-0253

119 Elizabeth Ln
Genoa City, WI 53128
Phone (224) 678-1080

2595 Development Dr
Ste 150
Green Bay, WI 54311
Phone (888) 901-7246

4602 Eastpark Blvd
Madison, WI 53718
Phone (608) 263-7540

600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325

1249 W Liebau Rd
Ste 200
Mequon, WI 53092
Phone (833) 821-7246

7974 Uw Health Ct
Middleton, WI 53562
Phone (608) 829-5270

2801 W Kinnickinnic River Pkwy
Ste 1080
Milwaukee, WI 53215
Phone (414) 908-6506

88948 Box
Milwaukee, WI 53288

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

2124 Kohler Memorial Dr
Ste 100
Sheboygan, WI 53081
Phone (920) 452-7246

2124 Kohler Memorial Dr
Ste 110
Sheboygan, WI 53081
Phone (833) 821-7246

900 Ridge St
Stoughton, WI 53589
Phone (608) 231-3410

125 Hospital Dr
Watertown, WI 53098
Phone (920) 261-4210

2607 N Grandview Blvd
Ste 102
Waukesha, WI 53188
Phone (262) 446-9981

N14W23800 Stone Ridge Dr
Ste 120
Waukesha, WI 53188

959 N Mayfair Rd
Ste 100
Wauwatosa, WI 53226
Phone (414) 955-7246

1000 Gateway Ct
Ste 100
West Bend, WI 53095

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/a87187e5-fe2f-447e-bf32-4eeb3954a735/
  • Direct secure messaging: nrabe266621@direct-ehr-ssmhc.com

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 1

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": "1357516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526601600000",
    "number": "1851638118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 WATER AVE",
            "city": "HILLSBORO",
            "state": "WI",
            "postal_code": "546349054",
            "telephone_number": "608-489-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WATER AVE",
            "city": "HILLSBORO",
            "state": "WI",
            "postal_code": "54634",
            "telephone_number": "608-489-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Spring Street",
            "address_purpose": "LOCATION",
            "city": "Streator",
            "state": "IL",
            "postal_code": "613642311",
            "country_code": "US",
            "telephone_number": "815-673-2311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RABE",
        "first_name": "NICHOLAS",
        "middle_name": "L",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-07",
        "last_updated": "2018-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "041382954",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WI",
            "license": "6679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2018; 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.