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SUMMIT ANESTHESIA PLLC
NPI 1609385509
Nurse Anesthetist, Certified Registered in Kennewick, WA

Active since September 22, 2017
6703 W RIO GRANDE AVE BLDG A, KENNEWICK, WA 99336(509) 946-9375 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 17, 2018, Sep 22, 2017 (2 updates tracked since 2017).

About Summit Anesthesia Pllc NPPES

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

SUMMIT ANESTHESIA PLLC (NPI 1609385509) is a healthcare organization registered as a nurse anesthetist, certified registered in Kennewick, Washington and active in the NPI registry since September 2017. The organization maintains a secondary practice location in Kennewick and lists Tyler Rex Thornock, Manager, as its authorized official.

NPPES Registry Identity

NPI1609385509
Entity TypeOrganization
Primary Taxonomy367500000X
Legal Business NameSUMMIT ANESTHESIA PLLC
Location Address6703 W RIO GRANDE AVE BLDG AKennewick, WA 99336-2623
Mailing Address15205 S Mountain Ridge CtKennewick, WA 99338-8325 · 14356684334
Phone(509) 946-9375
Organization SubpartNo
Authorized OfficialTyler Rex ThornockManager · (435) 668-4334
Enumeration DateSeptember 22, 2017
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1609385509 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 · 604089025
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.
6703 W RIO GRANDE AVE BLDG A, Kennewick, WA 99336
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Secondary Practice Location 1

Location 1521 N Young St Ste 100Kennewick, WA 99336-7806 · Phone (509) 736-2770 · Fax (509) 736-2771

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

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.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)

Summit Anesthesia Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Summit Anesthesia PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Tyler Thornock, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1881999639
15205 S. MOUNTAIN RIDGE CT
Kennewick, WA 99338
(435) 668-4334
5.9 mi

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 Summit Anesthesia PLLC's NPI number?

The NPI number for Summit Anesthesia PLLC is 1609385509. It was assigned to this organization in the NPPES registry on September 22, 2017.

Where is Summit Anesthesia PLLC located?

Summit Anesthesia PLLC is located at 6703 W Rio Grande Ave Bldg A, Kennewick, WA 99336. The listed phone number is (509) 946-9375.

What is Summit Anesthesia PLLC's specialty?

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

Is Summit Anesthesia PLLC enrolled in Medicare?

Yes. Summit Anesthesia PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Summit Anesthesia PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Certified Registered Nurse Anesthetist (CRNA)) reassigns their Medicare billing to Summit Anesthesia PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Summit Anesthesia PLLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Summit Anesthesia PLLC 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 Summit Anesthesia PLLC was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.