MR. ROGER GEORGE MENDENHALL CRNA
NPI 1144254616
Nurse Anesthetist, Certified Registered in Atlantic, IA

Active since July 10, 2006
805 LINDA DR, ATLANTIC, IA 50022(712) 243-4563(712) 243-4563 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Nurse Anesthetist, Certified Registered

About ROGER MENDENHALL

This page provides the complete NPI Profile along with additional information for Roger Mendenhall, a provider established in Atlantic, Iowa with a medical specialization in Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1144254616 assigned on July 2006. The practitioner's primary taxonomy code is 367500000X with license number D047194 (IA). The provider is registered as an individual and his NPI record was last updated 19 years ago.

NPI
1144254616 Verify this NPI
Provider Name
MR. ROGER GEORGE MENDENHALL CRNA
Gender
Male
Entity Type
Individual
Location Address
805 LINDA DR ATLANTIC, IA 50022
Location Phone
(712) 243-4563
Location Fax
(712) 243-4563
Mailing Address
805 LINDA DR PO BOX 601 ATLANTIC, IA 50022
Mailing Phone
(712) 243-4563
Mailing Fax
(712) 243-4563
Is Sole Proprietor?
Yes
Enumeration Date
07-10-2006
Last Update Date
07-09-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Anesthetist, Certified Registered

Taxonomy Code
367500000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
D047194
License State
IA
Taxonomy Description
(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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
26648MEDICARE ID-TYPE UNSPECIFIED (04)IAPROVIDER NUMBER
0061069MEDICAID (05)IA 

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144254616, enumerated as an "individual" on July 10, 2006.

The provider is located at 805 LINDA DR ATLANTIC, IA 50022 and the phone number is (712) 243-4563.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.