STATELINE ANESTHESIOLOGISTS SC
NPI 1316937519
Anesthesiology in Beloit, WI

Active since October 27, 2005
1969 W HART RD, BELOIT MEMORIAL HOSPITAL, BELOIT, WI 53511(608) 364-5355(608) 362-0417 Get Directions Write a Review

NPPES record last updated: June 25, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Stateline Anesthesiologists Sc NPPES

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

STATELINE ANESTHESIOLOGISTS SC (NPI 1316937519) is a healthcare organization registered as an anesthesiology in Beloit, Wisconsin and active in the NPI registry since October 2005. The organization lists Jimson C Tse, President Of Corporation, as its authorized official.

NPPES Registry Identity

NPI1316937519
Entity TypeOrganization
Primary Taxonomy207L00000X
Legal Business NameSTATELINE ANESTHESIOLOGISTS SC
Location Address1969 W HART RD, BELOIT MEMORIAL HOSPITALBeloit, WI 53511-2230
Mailing AddressPo Box 686Beloit, WI 53512-0686 · (608) 362-7444 · Fax (608) 362-0417
Fax(608) 362-0417
Organization SubpartNo
Authorized OfficialJimson C TsePresident Of Corporation · (608) 362-7444
Enumeration DateOctober 27, 2005
Last NPPES UpdateJune 25, 2014
✔ NPI 1316937519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
1969 W HART RD, Beloit, WI 53511

Other Identifiers 3

Medicare ID-Type Unspecified54320WI
Medicaid32828100WI
Other541844WI · Deancare

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stateline Anesthesiologists Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

27

Medicare enrollment records show 27 clinicians reassign Medicare billing to Stateline Anesthesiologists Sc, which bills Medicare for the services they deliver. Of these, 4 practice at this address. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Certified Registered Nurse Anesthetist (CRNA)18
Anesthesiology8
Nurse Practitioner1

Nearest to this location (20)

See all 27
Anesthesiology
NPI 1003058942
1969 W. HART RD
Beloit, WI 53511
(608) 364-5355
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1477041788
1969 W HART RD
Beloit, WI 53511
(323) 317-0487
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1962709683
1969 W HART RD
Beloit, WI 53511
(608) 362-7444
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1285093351
1969 W HART RD ATTN: ANESTHESIA DEPT
Beloit, WI 53511
(608) 364-5355
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1417945379
2202 HARLEM ROAD
Loves Park, IL 61111
(815) 877-4848
✔ PECOS✔ Accepts Medicare14 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1831432996
N2950 STATE ROAD 67
Lake Geneva, WI 53147
(262) 245-0535
✔ PECOS✔ Accepts Medicare24 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1477645430
9218 BEAR CLAW WAY
Madison, WI 53717
(208) 919-4898
✔ PECOS✔ Accepts Medicare46 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1508114828
801 S MILWAUKEE AVE
Libertyville, IL 60048
(847) 362-2900
✔ PECOS✔ Accepts Medicare57 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1750786208
8901 W LINCOLN AVE
West Allis, WI 53227
(414) 328-6000
✔ PECOS✔ Accepts Medicare59 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1881179299
6495 S 27TH ST
Franklin, WI 53132
(414) 574-0253
✔ PECOS✔ Accepts Medicare60 mi
Anesthesiology
NPI 1134103575
W180N8085 TOWN HALL RD
Menomonee Falls, WI 53051
(262) 251-1000
✔ PECOS✔ Accepts Medicare61 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1881183259
100 E LE FEVRE RD
Sterling, IL 61081
(815) 625-0400
✔ PECOS✔ Accepts Medicare63 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1669802492
3200 PLEASANT VALLEY RD
West Bend, WI 53095
(262) 836-7300
✔ PECOS✔ Accepts Medicare69 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1699741124
2817 NEW PINERY RD
Portage, WI 53901
(608) 742-4131
✔ PECOS✔ Accepts Medicare74 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1922084615
2817 NEW PINERY RD
Portage, WI 53901
(608) 742-4131
✔ PECOS✔ Accepts Medicare74 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1689298036
1100 E NORRIS DR
Ottawa, IL 61350
(815) 433-3100
✔ PECOS✔ Accepts Medicare83 mi
Anesthesiology
NPI 1639304736
1506 S ONEIDA ST
Appleton, WI 54915
(920) 738-2611
✔ PECOS✔ Accepts Medicare120 mi
Anesthesiology
NPI 1518919109
1506 S ONEIDA ST
Appleton, WI 54915
(920) 738-2000
✔ PECOS✔ Accepts Medicare121 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1194816116
2116 CRAIG RD
Eau Claire, WI 54701
(715) 858-4610
✔ PECOS✔ Accepts Medicare200 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1609546498
1000 HEALTH CENTER DR
Mattoon, IL 61938
(217) 258-2440
✔ PECOS✔ Accepts Medicare215 mi
See all 27 clinicians

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 Stateline Anesthesiologists Sc's NPI number?

The NPI number for Stateline Anesthesiologists Sc is 1316937519. It was assigned to this organization in the NPPES registry on October 27, 2005.

Where is Stateline Anesthesiologists Sc located?

Stateline Anesthesiologists Sc is located at 1969 W Hart Rd Beloit Memorial Hospital, Beloit, WI 53511. The listed phone number is (608) 364-5355.

What is Stateline Anesthesiologists Sc's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Stateline Anesthesiologists Sc enrolled in Medicare?

Yes. Stateline Anesthesiologists Sc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Stateline Anesthesiologists Sc?

According to the CMS Revalidation Reassignment List (October 2026 release), 27 clinicians in 3 Medicare specialties reassign their Medicare billing to Stateline Anesthesiologists Sc. 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. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (18), Anesthesiology (8) and Nurse Practitioner (1). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Stateline Anesthesiologists Sc accept?

Health plans from Anthem Blue Cross and Blue Shield and Quartz list Stateline Anesthesiologists Sc 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 Stateline Anesthesiologists Sc was last updated on June 25, 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.