Individual provider Active NPI

Weston S Ewing, CRNA

  • Certified Registered Nurse Anesthetist
  • North Platte, NE
National Provider Identifier
1962793513
Registry record updated Dec 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
101168 Issued in NE
Practice address
601 W Leota St
North Platte, NE 69101-6525
Phone
(308) 696-8000
NPI assigned
Apr 29, 2011
Last updated
Dec 23, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 101168 NE Primary
Registered Nurse 163W00000X 53115443102 UT

Addresses

Primary practice location

601 W Leota St
North Platte, NE 69101-6525

Mailing address

601 W Leota St
North Platte, NE 69101-6525
Phone (308) 696-8000

Other identifiers 2

IdentifierTypeStateIssuer
10025589400MedicaidNE
P00967664OtherRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191126000263 UT Practitioner - Certified Registered Nurse Anesthetist (Crna) 9335327055 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cedar Anesthesia Group LLPGroup PAC ID 0345240966, 11 clinicians

Practice addresses (Care Compare)

1303 N Main St
Cedar City, UT 84720-9746
Phone (435) 868-5800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53115443102UTMDRegistered Nurse
101168NEMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
St George Endoscopy Center LLC CurrentSince Dec 1, 2024 Accepting new patients
Amsurg St George Anesthesia, LLC CurrentSince Aug 9, 2021 Accepting new patients
Cedar Anesthesia Group LLP Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2019 Accepting new patients
North Platte Nebraska Physician Group LLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

1303 N Main St
Cedar City, UT 84721
Phone (435) 586-2229

1335 Northfield Rd
Ste 150
Cedar City, UT 84721
Phone (435) 586-1003

368 E Riverside Dr
Ste B
St George, UT 84790
Phone (435) 674-3109

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1304035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324598400000",
    "number": "1962793513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W LEOTA ST",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691016525",
            "telephone_number": "308-696-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W LEOTA ST",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691016525",
            "telephone_number": "308-696-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EWING",
        "first_name": "WESTON",
        "middle_name": "S",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-29",
        "last_updated": "2011-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NE",
            "license": "101168",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "UT",
            "license": "53115443102",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025589400",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00967664",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Platte, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2011; 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.