GARY A WISCOMBE CRNA
NPI 1790881761
Nurse Anesthetist, Certified Registered in Sandy, UT

Active since September 16, 2006Accepts Medicare Assignment
10011 CENTENNIAL PKWY, SANDY, UT 84070(801) 993-9527(801) 733-5872 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gary A Wiscombe Crna NPPES

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

GARY A WISCOMBE CRNA (NPI 1790881761) is an individual nurse anesthetist, certified registered in Sandy, Utah, licensed in Utah (0225185-4406) and active in the NPI registry since September 2006. He is a graduate of Other (2000).

NPPES Registry Identity

NPI1790881761
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameGARY A WISCOMBECredential: CRNA
Location Address10011 CENTENNIAL PKWYSandy, UT 84070-4156
Mailing Address1727 Red Barn RdSpringville, UT 84663-3231 · (801) 491-9337
Fax(801) 733-5872
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateSeptember 16, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1790881761 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 UT · 0225185-4406
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.
10011 CENTENNIAL PKWY, Sandy, UT 84070

Other Identifiers 8

Other22332UT · Healthy U
OtherQMP0000033333378UT · Molina
Other107028132101UT · Ihc
Other851248UT · Deseret Mutual
OtherQM0000076551UT · Altius
Other02251854400001UT · Bcbs
Other72748UT · Pehp
Medicare UPINP92585UT

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Gary A Wiscombe 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.

PECOS PAC ID9739086059
PECOS Enrollment IDI20031216000082

Areas of Expertise CMS Part B claims 2

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.

Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
12 services12 patients
Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand 01810
Anesthesia for procedures on the forearm, wrist, and hand involves administering medication to block sensation in these areas. This helps ensure comfort and painlessness during surgeries or treatments involving nerves, muscles, tendons, and tissue in these regions.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84070 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
10011 CENTENNIAL PKWY
SANDY, UT 84070
Pathology (Anatomic Pathology & Clinical Pathology)
10011 CENTENNIAL PKWY, SUITE 300
SANDY, UT 84070
Nurse Anesthetist, Certified Registered
10011 CENTENNIAL PKWY
SANDY, UT 84070
Anesthesiology
10011 CENTENNIAL PKWY
SANDY, UT 84070
Specialist
10011 CENTENNIAL PKWY, SUITE 350
SANDY, UT 84070
Physician Assistant (Medical)
10011 CENTENNIAL PKWY, SUITE 350
SANDY, UT 84070
Dentist (General Practice)
10011 CENTENNIAL PKWY, SUITE 540
SANDY, UT 84070
Physician Assistant
10011 CENTENNIAL PKWY, STE. 150
SANDY, UT 84070

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 Gary Wiscombe's NPI number?

The NPI number for Gary Wiscombe is 1790881761. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Where is Gary Wiscombe located?

Gary Wiscombe practices at 10011 Centennial Pkwy, Sandy, UT 84070. The listed phone number is (801) 993-9527.

What is Gary Wiscombe's specialty?

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

Is Gary Wiscombe enrolled in Medicare?

Yes. Gary Wiscombe 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.

When was this NPI record last updated?

The NPPES record for Gary Wiscombe was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.