TOM R PANKRATZ CRNA
NPI 1699757492
Nurse Anesthetist, Certified Registered in Baraboo, WI
- Individual
- Male
- Nurse Anesthetist, Certified Registered
About TOM PANKRATZ
This page provides the complete NPI Profile along with additional information for Tom Pankratz, a provider established in Baraboo, Wisconsin with a medical specialization in Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1699757492 assigned on November 2005. The practitioner's primary taxonomy code is 367500000X with license number 042315 (WI). The provider is registered as an individual and his NPI record was last updated 16 years ago.
- NPI
- 1699757492 Verify this NPI
- Provider Name
- TOM R PANKRATZ CRNA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 707 14TH ST BARABOO, WI 53913
- Location Phone
- (608) 356-1400
- Mailing Address
- 707 14TH ST BARABOO, WI 53913
- Mailing Phone
- (608) 356-1400
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 11-17-2005
- Last Update Date
- 03-09-2010
- Code Navigator
Location Map
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.
- 042315
- License State
- WI
- 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:
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 |
|---|---|---|---|
| 000221191 | MEDICARE ID-TYPE UNSPECIFIED (04) | WI | PART B MEDICARE |
| 430054481 | OTHER (01) | WI | RR MEDICARE PROV # |
| 43322800 | MEDICAID (05) | WI | |
| R39963 | MEDICARE UPIN (02) | WI | |
| 551896 | OTHER (01) | WI | DEANCARE PROV # |
| 391023846 | OTHER (01) | WI | COMMERCIAL INS PROV # |
| 1009390 | OTHER (01) | WI | PHYS PLUS PROV # |
| 388407992 | OTHER (01) | WI | TRICARE PROV # |
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
BARABOO, WI 53913
BARABOO, WI 53913
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699757492, enumerated as an "individual" on November 17, 2005.
The provider is located at 707 14TH ST BARABOO, WI 53913 and the phone number is (608) 356-1400.
Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
The provider might be accepting Accepts: Medicare, Medicaid, Railroad Medicare and Tricare. Please consult your insurance carrier or call the provider to verify.
