NPIMap

Individual provider Active NPI

Joshua X Condado, CRNA

  • Certified Registered Nurse Anesthetist
  • Green Bay, WI
National Provider Identifier
1861900201
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
9195-33 Issued in WI
Practice address
744 S Webster Ave
Green Bay, WI 54301-3505
Phone
(920) 433-3605
Fax
(920) 433-3589
NPI assigned
Jan 19, 2018
Last updated
Nov 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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 9195-33 WI Primary
Certified Registered Nurse Anesthetist 367500000X 238176-30 WI

Addresses

Primary practice location

744 S Webster Ave
Green Bay, WI 54301-3505

Mailing address

2109 E Capitol Dr
Ste B
Appleton, WI 54911-8726
Phone (920) 202-3912

Other practice location 1

820 Arbutus Ave
Oconto, WI 54153-2004
Phone (920) 835-1100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180327001396 WI Practitioner - Certified Registered Nurse Anesthetist (Crna) 2961764287 Reassigns benefits to 12 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Association of Hospital Anesthesiologists SCGroup PAC ID 3476539875, 84 clinicians

Practice addresses (Care Compare)

1405 Mill St
New London, WI 54961-2155
Phone (920) 531-2000

2251 N Shore Dr
Rhinelander, WI 54501-6710
Phone (715) 361-2000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Green Bay Anesthesia Assoc. SC CurrentSince May 1, 2022 Accepting new patients
Thedacare Medical Center - Berlin, Inc. CurrentSince Dec 1, 2019 Accepting new patients
Divine Savior Healthcare, Inc. CurrentSince Oct 1, 2022 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Nov 12, 2024 Accepting new patients
Thedacare Medical Center - Berlin, Inc. CurrentSince Dec 1, 2019 Accepting new patients
Thedacare Medical Center - Shawano, Inc. CurrentSince Dec 1, 2019 Accepting new patients
The Howard Young Medical Center, Inc. Nurse Anesthetist, Certified Registered CurrentSince Nov 12, 2024 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Nov 12, 2024 Accepting new patients
Divine Savior Healthcare, Inc. CurrentSince Oct 1, 2022 Accepting new patients
Racine Anesthesia Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2024 Accepting new patients
Thedacare Medical Center - New London, Inc. CurrentSince Dec 1, 2019 Accepting new patients
Thedacare Medical Center - Shawano, Inc. CurrentSince Dec 1, 2019 Accepting new patients
Thedacare Medical Center - Waupaca, Inc. CurrentSince Dec 1, 2019 Accepting new patients
Thedacare Medical Center - New London, Inc CurrentSince Dec 1, 2019 Accepting new patients
Columbia St. Mary's Hospital Milwaukee, Inc CurrentSince Sep 30, 2019 Accepting new patients
Association of Hospital Anesthesiologists SC CurrentSince May 1, 2020 Accepting new patients
Thedacare Medical Center - Berlin, Inc. Current Accepting new patients
Thedacare Medical Center - Waupaca, Inc. Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2019 Accepting new patients
Richard S Veiga MD SC Current Accepting new patients
Laboratory Corportation of America Holdings Past Accepting new patients
Wisconsin Institute of Urology SC PastSince Apr 17, 2020 Accepting new patients
Nurse Anesthesia Professional Services LLC Nurse Anesthetist, Certified Registered PastSince Dec 15, 2024 Accepting new patients

Locations (25 of 29)

29980 Network Pl
Chicago, IL 60673

7395 Solutions Ctr
Chicago, IL 60677

1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950

1818 N Meade St
Appleton, WI 54911
Phone (920) 731-4101

2109 E Capitol Dr
#B
Appleton, WI 54911
Phone (844) 693-1483

225 Memorial Dr
Berlin, WI 54923
Phone (920) 361-1313

225 S Executive Dr
Brookfield, WI 53005
Phone (262) 787-4026

614 Memorial Dr
Chilton, WI 53014
Phone (800) 458-4042

400 W Glen St
Crandon, WI 54520
Phone (715) 478-3318

N112W15415 Mequon Rd
Germantown, WI 53022
Phone (262) 250-7800

835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246

736 Ford St
Kimberly, WI 54136

1550 Midway Pl
Menasha, WI 54952
Phone (920) 727-8030

13133 N Port Washington Rd
Ste 116
Mequon, WI 53097
Phone (262) 243-3700

13133 N Port Washington Rd
Ste 118
Mequon, WI 53097
Phone (262) 243-7470

Bin 88263
Milwaukee, WI 53288

3801 Spring St
Mount Pleasant, WI 53405
Phone (262) 636-4011

130 2nd St
Neenah, WI 54956
Phone (920) 729-2063

130 2nd St
#A107
Neenah, WI 54956

1405 Mill St
New London, WI 54961
Phone (920) 531-2000

500 S Oakwood Rd
Oshkosh, WI 54904
Phone (920) 223-0501

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

2251 N Shore Dr
Rhinelander, WI 54501
Phone (715) 361-2300

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-3000

100 Cty Road B
Shawano, WI 54166
Phone (715) 524-2161

Organizations & group practices 24

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 24

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1516320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1861900201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 E CAPITOL DR",
            "address_2": "STE B",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549118726",
            "telephone_number": "920-202-3912",
            "fax_number": "920-939-3827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 S WEBSTER AVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543013505",
            "telephone_number": "920-433-3605",
            "fax_number": "920-433-3589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "820 Arbutus Ave",
            "address_purpose": "LOCATION",
            "city": "Oconto",
            "state": "WI",
            "postal_code": "541532004",
            "country_code": "US",
            "telephone_number": "920-835-1100",
            "fax_number": "920-835-1099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONDADO",
        "first_name": "JOSHUA",
        "middle_name": "X",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-19",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WI",
            "license": "9195-33",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WI",
            "license": "238176-30",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.