Active NPI
Ryan J Wilcox, CRNA
- Certified Registered Nurse Anesthetist
- Riverton, WY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 22518.35
- Practice address
- 2100 W Sunset Dr
Riverton, WY 82501-2274 - Phone
- (800) 967-1646
- NPI assigned
- Jun 20, 2006
- Last updated
- May 17, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 | 22518.35 | WY | Primary |
Addresses
Primary practice location
2100 W Sunset Dr
Riverton, WY 82501-2274
Mailing address
PO Box 32103
Billings, MT 59107-2103
Phone (317) 567-2180
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 121553100 | Medicaid | WY | |
| P00435060 | Other | WY | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121112000196 | MT | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 5193762607 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22518.35 | WY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascend Anesthesia Associates Mt LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Capital Medical Anesthesia PLLP | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| W.Michael Crosby M.D. PC | Past | Accepting new patients | |
| W Michael Crosby M D P C | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
400 10th St E
Waconia, MN 55387
2440 Winne Ave
Ste 100
Helena, MT 59601
Phone (406) 452-4200
Organizations & group practices 4
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.
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Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337212800000",
"number": "1881630994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 32103",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591072103",
"telephone_number": "317-567-2180",
"fax_number": "317-567-2191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 W SUNSET DR",
"city": "RIVERTON",
"state": "WY",
"postal_code": "825012274",
"telephone_number": "800-967-1646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILCOX",
"first_name": "RYAN",
"middle_name": "J",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-20",
"last_updated": "2012-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WY",
"license": "22518.35",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "121553100",
"state": "WY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00435060",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Riverton, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.