Bill Tisue, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

047720 Issued in IA

Practice address

901 Montgomery St
Decorah, IA 52101-2325

Phone

(319) 382-2911

NPI assigned

Feb 10, 2006

Last updated

Apr 28, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Tisue Anesthesia Services

  • Certified Registered Nurse Anesthetist
  • Decorah, IA
  • NPI 1720051592
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209340800000",
    "number": "1972576734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E 10TH ST",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553874552",
            "telephone_number": "952-442-9770",
            "fax_number": "952-442-3620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 MONTGOMERY ST",
            "city": "DECORAH",
            "state": "IA",
            "postal_code": "521012325",
            "telephone_number": "319-382-2911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TISUE",
        "first_name": "BILL",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2008-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IA",
            "license": "047720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IA",
            "identifier": "59688",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2091348",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooke A Tappe, DPM
• Team Rehab, LLC
• Karen L Tenneson, MSW, LISW
• Peter Thompson, D.C.
• Tisue Anesthesia Services
• Laurie Kay Tope, DO
• Tracy Essa Counseling PLLC
• Chris Trytten
• Leann Marie Uhlenhake, CCC-SLP
• Upper Iowa Pathology Associates

• Certified Registered Nurse Anesthetist in Decorah, IA
• Providers in Decorah, IA by specialty
• Certified Registered Nurse Anesthetist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.