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DRIFT AWAY ANESTHESIA LLC
NPI 1093165094
Nurse Anesthetist, Certified Registered in Madison, WI

Active since June 21, 2016
1200 JOHN Q HAMMONS DR STE 102, MADISON, WI 53717(573) 686-5550 Get Directions Write a Review

NPPES record last updated: April 3, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 3, 2026, Dec 12, 2025, Jun 21, 2016 (3 updates tracked since 2016).

About Drift Away Anesthesia Llc NPPES

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

DRIFT AWAY ANESTHESIA LLC (NPI 1093165094) is a healthcare organization registered as a nurse anesthetist, certified registered in Madison, Wisconsin and active in the NPI registry since June 2016. The organization lists Renee M Carlson, Mbr, as its authorized official.

NPPES Registry Identity

NPI1093165094
Entity TypeOrganization
Primary Taxonomy367500000X
Legal Business NameDRIFT AWAY ANESTHESIA LLC
Location Address1200 JOHN Q HAMMONS DR STE 102Madison, WI 53717-1967
Mailing Address1877 N Westwood BlvdPoplar Bluff, MO 63901-2833 · (573) 785-4601
Phone(573) 686-5550
Organization SubpartNo
Authorized OfficialRenee M CarlsonMbr · (573) 718-0902
Enumeration DateJune 21, 2016
Last NPPES UpdateApril 3, 20263 updates tracked since enumeration
NPPES CertifiedApril 3, 2026
✔ NPI 1093165094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
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.
1200 JOHN Q HAMMONS DR STE 102, Madison, WI 53717
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Drift Away Anesthesia Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Drift Away Anesthesia LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Benjamin Carlson
Certified Registered Nurse Anesthetist (CRNA)
NPI 1356572069
425 PINE RIDGE BLVD SUITE 211
Wausau, WI 54401
(715) 845-5505
✔ PECOS✔ Accepts Medicare123 mi
Renee Carlson, C.R.N.A.
Certified Registered Nurse Anesthetist (CRNA)
NPI 1356596415
425 PINE RIDGE BLVD STE 211
Wausau, WI 54401
(715) 845-5505
✔ PECOS✔ Accepts Medicare123 mi

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

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 Drift Away Anesthesia LLC's NPI number?

The NPI number for Drift Away Anesthesia LLC is 1093165094. It was assigned to this organization in the NPPES registry on June 21, 2016.

Where is Drift Away Anesthesia LLC located?

Drift Away Anesthesia LLC is located at 1200 John Q Hammons Dr Ste 102, Madison, WI 53717. The listed phone number is (573) 686-5550.

What is Drift Away Anesthesia LLC's specialty?

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

Is Drift Away Anesthesia LLC enrolled in Medicare?

Yes. Drift Away Anesthesia LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Drift Away Anesthesia LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Certified Registered Nurse Anesthetist (CRNA), reassign their Medicare billing to Drift Away Anesthesia LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Drift Away Anesthesia LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Drift Away Anesthesia LLC 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 Drift Away Anesthesia LLC was last updated on April 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.