TIMOTHY VANDERWEIDE CRNA
NPI 1023482072
Nurse Anesthetist, Certified Registered in Scott City, KS

Q: What is Timothy Vanderweide's NPI number?

The NPI number for Timothy Vanderweide is 1023482072. It was assigned to this individual provider in the NPPES registry on November 13, 2015.

Q: What is Timothy Vanderweide's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Active since November 13, 2015PECOS Enrolled

201 ALBERT AVE, SCOTT CITY, KS 67871(620) 872-5811(620) 872-3660 Get Directions Write a Review

NPPES record last updated: December 28, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 28, 2017, Dec 29, 2015, Dec 21, 2015 and 2 more (5 updates tracked since 2015).

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About Timothy Vanderweide Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY VANDERWEIDE CRNA (NPI 1023482072) is an individual nurse anesthetist, certified registered in Scott City, Kansas, licensed in Kansas (557379) and active in the NPI registry since November 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023482072

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameTIMOTHY VANDERWEIDECredential: CRNA

Location Address201 ALBERT AVEScott City, KS 67871

Mailing Address201 Albert AveScott City, KS 67871 · (620) 872-5811 · Fax (620) 872-3660

Phone(620) 872-5811

Fax(620) 872-3660

Sole ProprietorNo

Enumeration DateNovember 13, 2015

Last NPPES UpdateDecember 28, 20175 updates tracked since enumeration

✔ NPI 1023482072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in KS · 557379

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Also ListedRegistered NurseTaxonomy 163W00000X · License 13-112281-051 (KS)

201 ALBERT AVE, Scott City, KS 67871

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Timothy Vanderweide Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Timothy Vanderweide reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Scott County Hospital

Same address

Critical Access

201 ALBERT AVE
Scott City, KS 67871

Reassigned Medicare billing, Kansas enrollment
36 clinicians in this Medicare group

NPI 1144263443 (620) 872-5811

Steel Anesthesia Services PA

35 mi

Nurse Anesthetist, Certified Registered

411 N CAMPUS DR
Garden City, KS 67846

Reassigned Medicare billing, Kansas enrollment
3 clinicians in this Medicare group

NPI 1952914277 (620) 275-7248

Ness County Hospital District #2

54 mi

Critical Access

312 CUSTER
Ness City, KS 67560

Reassigned Medicare billing, Kansas enrollment
8 clinicians in this Medicare group

NPI 1457452898 (785) 798-2291

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67871 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$122.41 typical visit price

range $53.00 – $161.67

Typical copayment $30.60 (range $13.25 – $40.41)

Most-billed visit code 99204

Established Patient

$66.40 typical visit price

range $16.88 – $132.11

Typical copayment $16.60 (range $4.22 – $33.02)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEMI KRAUS PT, DPT

Physical Therapist