JEREMY R TAYSOM CRNA
NPI 1093060170
Nurse Anesthetist, Certified Registered in Evanston, WY
About Jeremy R Taysom Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEREMY R TAYSOM CRNA (NPI 1093060170) is an individual nurse anesthetist, certified registered in Evanston, Wyoming, licensed in Wyoming (56824) and active in the NPI registry since July 2012. He maintains a secondary practice location in Wasilla and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jeremy R Taysom Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Jeremy Taysom reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Evanston, WY 82930
- Reassigned Medicare billing, Wyoming enrollment
- 27 clinicians in this Medicare group
Palmer, AK 99645
- Reassigned Medicare billing, Alaska enrollment
- 57 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 7
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 82930 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
EVANSTON, WY 82930
EVANSTON, WY 82930
EVANSTON, WY 82930
EVANSTON, WY 82930
EVANSTON, WY 82930
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jeremy Taysom's NPI number?
The NPI number for Jeremy Taysom is 1093060170. It was assigned to this individual provider in the NPPES registry on July 16, 2012.
Where is Jeremy Taysom located?
Jeremy Taysom practices at 190 Arrowhead Dr, Evanston, WY 82930. The listed phone number is (307) 789-3636.
What is Jeremy Taysom's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Jeremy Taysom enrolled in Medicare?
Yes. Jeremy Taysom is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Jeremy Taysom's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeremy Taysom reassigns Medicare benefits to 2 organizations: Evanston Hospital Corporation (Evanston, WY) and Anesthesia Care Associates, PC (Palmer, AK). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeremy Taysom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jeremy Taysom accept?
Health plans from Blue Cross Blue Shield of Wyoming list Jeremy Taysom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jeremy Taysom was last updated on August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jeremy R Taysom, CRNA · NPI 1093060170
Nurse Anesthetist, Certified Registered physician in Evanston, Wyoming. Individual provider, active in the CMS NPPES registry since July 16, 2012.
## Identity
- **NPI:** 1093060170 (Entity type: Individual)
- **Enumerated:** July 16, 2012
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 56824 (Wyoming)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 190 ARROWHEAD DR, Evanston, WY 82930-9266
- **Phone:** (307) 789-3636
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Evanston Hospital Corporation (NPI 1013288836, Evanston, WY); Anesthesia Care Associates, PC (NPI 1033160452, Palmer, AK) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** August 14, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1093060170) · Data from the CMS NPPES public registry.