Individual provider Active NPI

Aaron Egelkraut

  • Certified Registered Nurse Anesthetist
  • Scottsbluff, NE
National Provider Identifier
1952182602
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
101821 Issued in NE
Practice address
4021 Avenue B
Scottsbluff, NE 69361-4602
Phone
(308) 635-3711
NPI assigned
Oct 9, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 2368300 MN
Certified Registered Nurse Anesthetist 367500000X 101821 NE Primary

Addresses

Primary practice location

4021 Avenue B
Scottsbluff, NE 69361-4602

Mailing address

5810 Lafayette Ave
Omaha, NE 68132-1337
Phone (612) 963-4026

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240402001615 NE Practitioner - Certified Registered Nurse Anesthetist (Crna) 8921446535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Northstar Anesthesia of Nebraska LLCGroup PAC ID 2264857135, 21 clinicians

Practice addresses (Care Compare)

4021 Ave B
Scottsbluff, NE 69361-4602
Phone (214) 687-0001

Hospital & facility affiliations

  • Regional West Medical Center Hospital, Scottsbluff, NE, CCN 280061

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2368300MNMDRegistered Nurse
101821NEMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Anesthesia of Nebraska LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 25, 2024 Accepting new patients

Locations

4021 Avenue B
Scottsbluff, NE 69361
Phone (308) 630-1384

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 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": "1696809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1952182602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5810 LAFAYETTE AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681321337",
            "telephone_number": "612-963-4026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4021 AVENUE B",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614602",
            "telephone_number": "308-635-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGELKRAUT",
        "first_name": "AARON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-09",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "2368300",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NE",
            "license": "101821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsbluff, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.