Active NPI
Robert Lyle Nielson, CRNA
- Certified Registered Nurse Anesthetist
- Nephi, UT
National Provider Identifier
1902380280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 7893551-4406
- Practice address
- 48 W 1500 N
Nephi, UT 84648-8900 - Phone
- (435) 623-3000
- NPI assigned
- Sep 21, 2018
- 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 | 7893551-4406 | UT | Primary |
Addresses
Primary practice location
48 W 1500 N
Nephi, UT 84648-8900
Mailing address
220 S 200 W
Nephi, UT 84648-1740
Phone (435) 660-0475
Other practice location 1
220 S 200 W
Nephi, UT 84648-1740
Phone (435) 660-0475
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190108001595 | UT | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 0244576569 | Reassigns benefits to 1 organization |
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
- Salt Creek Anesthesia PLLC
Practice addresses (Care Compare)
1766 W 800
Nephi, UT 84648-5516
Phone (435) 623-3000
Hospital & facility affiliations
- Central Valley Medical Center - Cah
- Intermountain Health Utah Valley Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salt Creek Anesthesia PLLC | Single Specialty | Current | Accepting new patients |
Locations
48 W 1500 N
Nephi, UT 84648
Phone (435) 623-3000
Organizations & group practices 1
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.
Hospital & facility affiliations 5
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": "1537488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537488000000",
"number": "1902380280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 S 200 W",
"city": "NEPHI",
"state": "UT",
"postal_code": "846481740",
"telephone_number": "435-660-0475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "48 W 1500 N",
"city": "NEPHI",
"state": "UT",
"postal_code": "846488900",
"telephone_number": "435-623-3000"
}
],
"practiceLocations": [
{
"address_1": "220 S 200 W",
"address_purpose": "LOCATION",
"city": "Nephi",
"state": "UT",
"postal_code": "846481740",
"country_code": "US",
"telephone_number": "435-660-0475",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NIELSON",
"first_name": "ROBERT",
"middle_name": "LYLE",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-09-21",
"last_updated": "2018-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "UT",
"license": "7893551-4406",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nephi, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.