ERIC WAYNE ANDERSON CRNA
NPI 1205801917
Nurse Anesthetist, Certified Registered in Spencer, IA

NPI Status: Active since February 17, 2006

Contact Information

1200 1ST AVE E
SPENCER, IA
ZIP 51301
Phone: (952) 442-9770

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  • Individual
  • Male
  • Years of Experience 30
  • Nurse Anesthetist, Certified Registered
  • Accepts Insurance
  • Accepts Medicare Approved Payment

About ERIC ANDERSON

This page provides the complete NPI Profile along with additional information for Eric Anderson, a provider established in Spencer, Iowa with a medical specialization in Nurse Anesthetist, Certified Registered and more than 30 years of experience. The healthcare provider is registered in the NPI registry with number 1205801917 assigned on February 2006. The practitioner's primary taxonomy code is 367500000X with license number 099570 (IA). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1205801917
Provider Name
ERIC WAYNE ANDERSON CRNA
Gender
Male
Entity Type
Individual
Location Address
1200 1ST AVE E SPENCER, IA 51301
Location Phone
(952) 442-9770
Mailing Address
400 E 10TH ST WACONIA, MN 55387
Mailing Phone
(952) 442-9770
Mailing Fax
Medical School Name
OTHER
Graduation Year
1996
Is Sole Proprietor?
No
Enumeration Date
02-17-2006
Last Update Date
04-28-2008
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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.
099570
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:

  • Inspire by Medica Bronze $0 Copay PCP Visits - EPO
  • Inspire by Medica Bronze Share - EPO
  • Inspire by Medica Expanded Bronze Standard - EPO
  • Inspire by Medica Gold $0 Copay PCP Visits - EPO
  • Inspire by Medica Gold Share - EPO
  • Inspire by Medica Gold Standard - EPO
  • Inspire by Medica Silver $0 Copay PCP Visits - EPO
  • Inspire by Medica Silver Share - EPO
  • Inspire by Medica Silver Standard - EPO
  • Medica Insure Bronze $0 Copay PCP Visits - EPO
  • Bronze Classic 4700 - EPO
  • Bronze Classic 4700 | MercyOne - EPO
  • Bronze Classic Standard - EPO
  • Bronze Classic Standard | MercyOne - EPO
  • Bronze Elite + PCP Saver Plus - EPO
  • Bronze Elite + PCP Saver Plus | MercyOne - EPO
  • Bronze Simple Breathe Easy with Enhanced COPD Benefits | MercyOne - EPO
  • Bronze Simple Chronic Care CKM | MercyOne - EPO
  • Bronze Simple Diabetes | MercyOne - EPO
  • Gold Classic Standard - EPO

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.

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
430041857MEDICARE ID-TYPE UNSPECIFIED (04)IARAILROAD MEDICARE
0172999MEDICAID (05)IA 
44365OTHER (01)IABLUE CROSS OF IOWA
A54321MEDICARE UPIN (02)IA 
44365MEDICARE ID-TYPE UNSPECIFIED (04)IA 

Medicare Participation & PECOS Enrollment Status

Eric Anderson is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 7012012131

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20100915000615

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $30.55 for a new patient copayment and $16.59 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 51301 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $122.23
  • Minimum New Patient Price $52.96
  • Maximum New Patient Price $161.4
  • Average New Patient Copayment $30.55
  • Minimum New Patient Copayment $13.24
  • Maximum New Patient Copayment $40.35

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $66.36
  • Minimum Established Patient Price $16.91
  • Maximum Established Patient Price $131.98
  • Average Established Patient Copayment $16.59
  • Minimum Established Patient Copayment $4.22
  • Maximum Established Patient Copayment $32.99

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Eric Anderson is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
GREATER REGIONAL MEDICAL CENTER1700 WEST TOWNLINE STREET
CRESTON, IA 50801
(641) 782-7091Critical Access Hospitals

Reviews for ERIC WAYNE ANDERSON CRNA

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1205801917, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
0
Doubled → 0
Pos 4
5
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
0
Unchanged
Pos 7
1
Doubled → 2
Pos 8
9
Unchanged
Pos 9
1
Doubled → 2
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 8 → 16 → 7 1 → 2 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 0 + 5 + 1 + 6 + 0 + 2 + 9 + 2 + 24 = 53

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1205801917.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Clinic/Center (Medical Specialty)
1200 1ST AVE E
SPENCER, IA 51301
Orthopaedic Surgery
1200 1ST AVE E, STE C
SPENCER, IA 51301
Orthopaedic Surgery (Hand Surgery)
1200 1ST AVE E, STE C
SPENCER, IA 51301
Physical Therapist
1200 1ST AVE E, STE C
SPENCER, IA 51301
Radiology (Diagnostic Radiology)
1200 1ST AVE E, SUITE C
SPENCER, IA 51301
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
1200 1ST AVE E, STE C
SPENCER, IA 51301
Dietitian, Registered
1200 1ST AVE E
SPENCER, IA 51301
Dietitian, Registered
1200 1ST AVE E
SPENCER, IA 51301
Dietitian, Registered
1200 1ST AVE E
SPENCER, IA 51301
Nurse Practitioner
1200 1ST AVE E
SPENCER, IA 51301
Psychiatry & Neurology (Psychiatry)
1200 1ST AVE E, SUITE A
SPENCER, IA 51301
Emergency Medicine
1200 1ST AVE E
SPENCER, IA 51301
Specialist
1200 1ST AVE E, SUITE B
SPENCER, IA 51301
Specialist
1200 1ST AVE E, SUITE B
SPENCER, IA 51301
Nurse Anesthetist, Certified Registered
1200 1ST AVE E
SPENCER, IA 51301
Nurse Anesthetist, Certified Registered
1200 1ST AVE E
SPENCER, IA 51301
Nurse Anesthetist, Certified Registered
1200 1ST AVE E
SPENCER, IA 51301
Nurse Anesthetist, Certified Registered
1200 1ST AVE E
SPENCER, IA 51301
Specialist/Technologist (Athletic Trainer)
1200 1ST AVE E, SUITE C
SPENCER, IA 51301
Radiology (Diagnostic Radiology)
1200 1ST AVE E, BOX 71
SPENCER, IA 51301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205801917, enumerated as an "individual" on February 17, 2006.

The provider is located at 1200 1ST AVE E SPENCER, IA 51301 and the phone number is (952) 442-9770.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

The provider might be accepting Accepts: Medica, Oscar Insurance Company, Railroad. Please consult your insurance carrier or call the provider to verify.

Eric Anderson is affiliated with: GREATER REGIONAL MEDICAL CENTER.