Aldin John Pelican, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

43-55702 Issued in KS

Practice address

415 N Main St
Ulysses, KS 67880-2133

Phone

(620) 356-1266

Fax

(620) 424-6313

NPI assigned

Jul 27, 2006

Sex

Male

Sole proprietor

No

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.

• Anesthesia Associates of Topeka PA

  • Anesthesiology Physician
  • Topeka, KS
  • NPI 1518933837
  Medicare reassignment NPD KS
• Coastal Anesthesia, P.C.

  • Anesthesiology Physician
  • Mobile, AL
  • NPI 1588637169
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in KS

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 13, 2018.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542067200000",
    "number": "1891719571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 913041",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802913041",
            "telephone_number": "610-594-5108",
            "fax_number": "610-363-1790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N MAIN ST",
            "city": "ULYSSES",
            "state": "KS",
            "postal_code": "678802133",
            "telephone_number": "620-356-1266",
            "fax_number": "620-424-6313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELICAN",
        "first_name": "ALDIN",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2018-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-081210",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "43-55702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE TRAVELERS",
            "identifier": "CN0216",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE TRAVERLERS ID",
            "identifier": "P00380505",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015113326",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105336",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mullen Pharmacy PA Inc
• Mullen Pharmacy PA Inc
• Mullen Pharmacy PA Inc
• Tyson Mullen, PHARMD
• Nellie Health
• Michael A Phillips, CRNA
• Amber D Plumlee, PA-C, MPAS
• Anthony A Prusa, PT
• Rhandi Lee Rexroat, FNP
• Ruby Victoria Romero, RN

• All providers in Ulysses, KS
• Certified Registered Nurse Anesthetist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; 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.

Verify at the official NPI Registry.