Individual provider Active NPI

Joshua S Vincent, CRNA

  • Certified Registered Nurse Anesthetist
  • Price, UT
National Provider Identifier
1952631806
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
5736888-4406 Issued in UT
Practice address
300 N Hospital Dr
Price, UT 84501-4218
Phone
(435) 637-4800
NPI assigned
Dec 28, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 5736888-4406 UT Primary

Addresses

Primary practice location

300 N Hospital Dr
Price, UT 84501-4218

Mailing address

2350 S 190 E
Price, UT 84501-4581
Phone (435) 299-0500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160303001514 UT Practitioner - Certified Registered Nurse Anesthetist (Crna) 6901940212 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Anesthesia Associates, LLC 6 clinicians

Practice addresses (Care Compare)

300 N Hospital Dr
Castleview Hospital
Price, UT 84501-4200
Phone (435) 637-4800

Hospital & facility affiliations

  • Castleview Hospital Hospital, Price, UT, CCN 460011

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Anesthesia Associates, LLC CurrentSince Apr 11, 2016 Accepting new patients
Mountain West Anesthesia LLC CurrentSince Mar 1, 2021 Accepting new patients
Maple Gate Anesthesiologists, P.C. Past Accepting new patients

Locations

300 N Hospital Dr
Price, UT 84501
Phone (435) 636-4836

1034 N 500 W
Provo, UT 84604
Phone (801) 362-4119

150 W Civic Center Dr
Ste 200
Sandy, UT 84070
Phone (801) 727-2056

Organizations & group practices 3

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": "1261958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1952631806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 S 190 E",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "845014581",
            "telephone_number": "435-299-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N HOSPITAL DR",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "845014218",
            "telephone_number": "435-637-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "JOSHUA",
        "middle_name": "S",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-28",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "UT",
            "license": "5736888-4406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Price, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; 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.