JEFFERY W EDSTROM
NPI 1164427274
Nurse Anesthetist, Certified Registered in Buffalo, WY

Q: What is Jeffery Edstrom's NPI number?

The NPI number for Jeffery Edstrom is 1164427274. It was assigned to this individual provider in the NPPES registry on June 15, 2005. The provider is also known as Jeff W Edstrom Crna.

Q: What is Jeffery Edstrom's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jeffery Edstrom was last updated on June 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.

Active since June 15, 2005Accepts Medicare Assignment

497 W LOTT ST, BUFFALO, WY 82834(307) 684-5521(307) 684-5385 Get Directions Write a Review

NPPES record last updated: June 3, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jeffery W Edstrom NPPES

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

JEFFERY W EDSTROM (NPI 1164427274) is an individual nurse anesthetist, certified registered in Buffalo, Wyoming, licensed in Wisconsin (129337) and active in the NPI registry since June 2005. He is affiliated with Johnson County Healthcare Center and is a graduate of Other (2000).

NPPES Registry Identity

NPI1164427274

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameJEFFERY W EDSTROM

Location Address497 W LOTT STBuffalo, WY 82834-1658

Mailing Address553 N Pinnacle DrBuffalo, WY 82834-1416 · (307) 684-7817

Phone(307) 684-5521

Fax(307) 684-5385

Sole ProprietorYes

Medical School CMSOtherGraduated 2000

Enumeration DateJune 15, 2005

Last NPPES UpdateJune 3, 2014

✔ NPI 1164427274 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

License✔ Licensed in WI · 129337

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.

497 W LOTT ST, Buffalo, WY 82834

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Other Names 1

Other Name (5)Jeff W Edstrom Crna

Other Identifiers 4

Medicare ID-Type Unspecified004134217WI

Medicaid43403300WI

Medicare OSCAR/certification211050115WI

Medicare UPINP15494

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming, Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jeffery W Edstrom 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.

PECOS PAC ID1557326923

PECOS Enrollment IDI20070412000027

Areas of Expertise CMS Part B claims

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.

Anesthesia for lens surgery 00142

Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.

13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Johnson County Healthcare Center

Critical Access Hospitals · Buffalo, WY

OwnershipGovernment - Hospital District or Authority

CMS Certification Number531308

Location497 West LottBuffalo, WY 82834 · Johnson County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 82834 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

$129.37 typical visit price

range $56.42 – $170.72

Typical copayment $32.34 (range $14.10 – $42.68)

Most-billed visit code 99204

Established Patient

$70.32 typical visit price

range $18.19 – $139.32

Typical copayment $17.58 (range $4.54 – $34.83)

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 13

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

MR. HERMILO GONZALEZ JR. MD

Family Medicine