MR. BRYON SOBCZAK CRNA
NPI 1205973146
Nurse Anesthetist, Certified Registered in Fort Madison, IA

Q: What is Bryon Sobczak's NPI number?

The NPI number for Bryon Sobczak is 1205973146. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Q: What is Bryon Sobczak'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 Bryon Sobczak was last updated on May 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 January 31, 2007Accepts Medicare Assignment

5445 AVENUE O, FORT MADISON, IA 52627(319) 376-2047(319) 376-2043 Get Directions Write a Review

NPPES record last updated: May 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 18, 2021, Mar 31, 2017 (2 updates tracked since 2017).

On this page

About Mr. Bryon Sobczak Crna NPPES

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

MR. BRYON SOBCZAK CRNA (NPI 1205973146) is an individual nurse anesthetist, certified registered in Fort Madison, Iowa, licensed in Iowa (D-120718) and active in the NPI registry since January 2007. He maintains a secondary practice location in Quincy and is a graduate of Other (2003).

NPPES Registry Identity

NPI1205973146

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameMR. BRYON SOBCZAKCredential: CRNA

Location Address5445 AVENUE OFort Madison, IA 52627-9611

Mailing Address400 E 10th StWaconia, MN 55387-4552 · (952) 442-9770 · Fax (952) 442-3630

Phone(319) 376-2047

Fax(319) 376-2043

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateJanuary 31, 2007

Last NPPES UpdateMay 18, 20212 updates tracked since enumeration

NPPES CertifiedMay 18, 2021

✔ NPI 1205973146 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

Licenses✔ Licensed in IA · D-120718✔ Licensed in IL · 209-004904

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.

5445 AVENUE O, Fort Madison, IA 52627

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Secondary Practice Location 1

Location 13301 Broadway StQuincy, IL 62301-3713 · Phone (217) 277-4090

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

Mr. Bryon Sobczak 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.

PECOS PAC ID1658366588

PECOS Enrollment IDI20040419001257

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52627 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

$122.23 typical visit price

range $52.96 – $161.40

Typical copayment $30.55 (range $13.24 – $40.35)

Most-billed visit code 99204

Established Patient

$66.36 typical visit price

range $16.91 – $131.98

Typical copayment $16.59 (range $4.22 – $32.99)

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 20

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

STEVE KNIGHT CRNA

Nurse Anesthetist, Certified Registered