Active NPI
Ryan Stuart Dennis, CRNA
- Certified Registered Nurse Anesthetist
- Waterloo, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- D164100
- Practice address
- 1825 Logan Ave
Waterloo, IA 50703-1916 - Phone
- (319) 235-3886
- NPI assigned
- Jul 16, 2021
- Sex
- Male
- Sole proprietor
- No
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 | D164100 | IA | Primary |
Addresses
Primary practice location
1825 Logan Ave
Waterloo, IA 50703-1916
Mailing address
PO Box 2758
Waterloo, IA 50704-2758
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210726001372 | IA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 0749683993 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Iowa Physicians Clinic Medical Foundation
Practice addresses (Care Compare)
1825 Logan Ave
Waterloo, IA 50703-1916
Phone (319) 235-3886
4480 Utica Ridge Rd
Bettendorf, IA 52722-1644
4480 Utica Ridge Rd
Suite 160
Bettendorf, IA 52722-1637
Phone (563) 742-5950
Hospital & facility affiliations
- Allen Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D164100 | IA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marengo Memorial Hospital | Current | Accepting new patients | |
| Marengo Memorial Hospital | Current | Accepting new patients | |
| Iowa Physicians Clinic Medical Foundation | Current | Accepting new patients | |
| Marengo Memorial Hospital | Current | Accepting new patients | |
| St Luke'S Methodist Hospital | Current | Accepting new patients |
Locations
4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150
4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950
300 W May St
Marengo, IA 52301
Phone (319) 462-8011
300 W May St
Ste A
Marengo, IA 52301
Phone (319) 642-5543
1825 Logan Ave
Waterloo, IA 50703
Phone (319) 235-3886
1753 W Ridgeway Ave
Ste 107
Waterloo, IA 50701
Phone (319) 833-5907
1731 W Ridgeway Ave
Waterloo, IA 50701
Phone (319) 833-5800
Interoperability endpoints
- rdennis830616@direct.unitypoint.org
Organizations & group practices 6
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.
-
- General Practice Physician
- West Des Moines, IA
- NPI 1366425274
IA
-
- Clinical Medical Laboratory
- Cedar Falls, IA
- NPI 1538617840
-
- Rural Health Clinic/Center
- Williamsburg, IA
- NPI 1548681216
-
- Community/Retail Pharmacy
- Marengo, IA
- NPI 1811580780
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Waterloo, IA
- NPI 1336231091
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626393600000",
"number": "1962074096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2758",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507042758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1825 LOGAN AVE",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507031916",
"telephone_number": "319-235-3886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENNIS",
"first_name": "RYAN",
"middle_name": "STUART",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-16",
"last_updated": "2021-07-16",
"certification_date": "2021-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IA",
"license": "D164100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waterloo, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.