MR. WILLIAM G CHISHOLM JR. CRNA
NPI 1396775938
Nurse Anesthetist, Certified Registered in Ilwaco, WA

Q: What is William Chisholm's NPI number?

The NPI number for William Chisholm is 1396775938. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Q: What is William Chisholm'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 William Chisholm was last updated on February 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 July 03, 2006

86.06/100

CMS Quality Rating

174 1ST AVE N, ILWACO, WA 98624(360) 642-3181 Get Directions Write a Review

NPPES record last updated: February 2, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. William G Chisholm Jr. Crna NPPES

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

MR. WILLIAM G CHISHOLM JR. CRNA (NPI 1396775938) is an individual nurse anesthetist, certified registered in Ilwaco, Washington, licensed in Washington (AP30001327) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1396775938

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameMR. WILLIAM G CHISHOLM JR.Credential: CRNA

Location Address174 1ST AVE NIlwaco, WA 98624-9137

Mailing Address91 E Tamarack LnShelton, WA 98584-9402 · (360) 427-5747

Phone(360) 642-3181

Sole ProprietorYes

Enumeration DateJuly 3, 2006

Last NPPES UpdateFebruary 2, 2016

✔ NPI 1396775938 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 WA · AP30001327

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.

174 1ST AVE N, Ilwaco, WA 98624

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Other Identifiers 5

Medicaid9603887WA

Medicare UPINR54400WA

Medicaid210785OR

Medicare PINAB2960WA

Other430073112WA · Medicare Railroad

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.06/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

Improvement Activities

Cost

71.87

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.

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