TIMOTHY P VAUGHN CRNA, APNP
NPI 1871576009
Nurse Anesthetist, Certified Registered in Eau Claire, WI

Q: What is Timothy Vaughn's NPI number?

The NPI number for Timothy Vaughn is 1871576009. It was assigned to this individual provider in the NPPES registry on November 22, 2005.

Q: What is Timothy Vaughn'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 Timothy Vaughn was last updated on March 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 November 22, 2005PECOS Enrolled

900 W CLAIREMONT AVE, EAU CLAIRE, WI 54701(715) 717-4121 Get Directions Write a Review

NPPES record last updated: March 28, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Timothy P Vaughn Crna, Apnp NPPES

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

TIMOTHY P VAUGHN CRNA, APNP (NPI 1871576009) is an individual nurse anesthetist, certified registered in Eau Claire, Wisconsin, licensed in Wisconsin (2820-33) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Chippewa Falls.

NPPES Registry Identity

NPI1871576009

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameTIMOTHY P VAUGHNCredential: CRNA, APNP

Location Address900 W CLAIREMONT AVEEau Claire, WI 54701-6122

Mailing Address1436 Clearwater Ridge CtEau Claire, WI 54703-3794 · (608) 469-4672

Phone(715) 717-4121

Sole ProprietorNo

Enumeration DateNovember 22, 2005

Last NPPES UpdateMarch 28, 2024

NPPES CertifiedApril 24, 2022

✔ NPI 1871576009 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

Licenses✔ Licensed in WI · 2820-33✔ Licensed in WI · 89142030

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.

900 W CLAIREMONT AVE, Eau Claire, WI 54701

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Secondary Practice Location 1

Location 12661 County Highway IChippewa Falls, WI 54729-5407 · Phone (715) 723-1811

Other Identifiers 1

Medicaid43309500WI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Timothy P Vaughn Crna, Apnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Timothy Vaughn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Independent Surgery Center LLC

7.7 mi

Ambulatory Surgical

2751 COMMERCIAL BLVD, SUITE 7
Chippewa Falls, WI 54729

Reassigned Medicare billing, Wisconsin enrollment
17 clinicians in this Medicare group

NPI 1922316835 (715) 797-8310

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54701 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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 20

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

EDWARD S PISARCIK JR. PA-C

Physician Assistant