TY D THORNOCK CRNA
NPI 1720098197
Nurse Anesthetist, Certified Registered in Shawano, WI
About Ty D Thornock Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TY D THORNOCK CRNA (NPI 1720098197) is an individual nurse anesthetist, certified registered in Shawano, Wisconsin, licensed in Wisconsin (2685-033) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Thedacare Medical Center - New London, and maintains a secondary practice location in New London.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ty D Thornock 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.
Medicare Billing Reassignments
5Medicare enrollment records show Ty Thornock reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Shawano, WI 54166
- Reassigned Medicare billing, Wisconsin enrollment
- 174 clinicians in this Medicare group
New London, WI 54961
- Reassigned Medicare billing, Wisconsin enrollment
- 106 clinicians in this Medicare group
New London, WI 54961
- Reassigned Medicare billing, Wisconsin enrollment
- 988 clinicians in this Medicare group
Neenah, WI 54956
- Reassigned Medicare billing, Wisconsin enrollment
- 144 clinicians in this Medicare group
Wausau, WI 54401
- Reassigned Medicare billing, Wisconsin enrollment
- 54 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Thedacare Medical Center - New London
Critical Access Hospitals · New London, WIThedacare Medical Center - Shawano
Critical Access Hospitals · Shawano, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54166 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SHAWANO, WI 54166
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 Ty Thornock's NPI number?
The NPI number for Ty Thornock is 1720098197. It was assigned to this individual provider in the NPPES registry on August 9, 2006.
Where is Ty Thornock located?
Ty Thornock practices at 100 County Road B, Shawano, WI 54166. The listed phone number is (715) 524-2161.
What is Ty Thornock's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Ty Thornock enrolled in Medicare?
Yes. Ty Thornock is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Ty Thornock's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ty Thornock reassigns Medicare benefits to 5 organizations: Thedacare Medical Center - Shawano, Inc. (Shawano, WI), Thedacare Medical Center - New London, Inc. (New London, WI), Thedacare, Incorporated (New London, WI), Association Of Hospital Anesthesiologists Sc (Neenah, WI) and Gastrointestinal Associates S.C. (Wausau, WI). Each 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 Ty Thornock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ty Thornock accept?
Health plans from CareSource (Common Ground Healthcare) list Ty Thornock 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.
Is Ty Thornock affiliated with any hospitals?
According to CMS data, Ty Thornock is affiliated with Thedacare Medical Center - New London and Thedacare Medical Center - Shawano.
When was this NPI record last updated?
The NPPES record for Ty Thornock 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.
# Ty D Thornock, CRNA · NPI 1720098197
Nurse Anesthetist, Certified Registered physician in Shawano, Wisconsin. Individual provider, active in the CMS NPPES registry since August 9, 2006.
## Identity
- **NPI:** 1720098197 (Entity type: Individual)
- **Enumerated:** August 9, 2006
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 2685-033 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 COUNTY ROAD B, Shawano, WI 54166-7072
- **Phone:** (715) 524-2161
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Thedacare Medical Center - Shawano, Inc. (NPI 1548260839, Shawano, WI); Thedacare Medical Center - New London, Inc. (NPI 1538127220, New London, WI); Thedacare, Incorporated (NPI 1376656959, New London, WI); Association Of Hospital Anesthesiologists Sc (NPI 1720076474, Neenah, WI); Gastrointestinal Associates S.C. (NPI 1760546949, Wausau, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1998
## Record status
- **NPPES last updated:** March 17, 2018
- **Other identifiers:** Medicaid 43382500 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1720098197) · Data from the CMS NPPES public registry.