JEFFERY W. EDSTROM
NPI 1871916544
Nurse Anesthetist, Certified Registered in Sheridan, WY

Q: What is Jeffery W. Edstrom's NPI number?

The NPI number for Jeffery W. Edstrom is 1871916544. It was assigned to this organization in the NPPES registry on January 30, 2014.

Q: What is Jeffery W. Edstrom's specialty?

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

Active since January 30, 2014

1524 W 5TH ST, SHERIDAN, WY 82801(307) 672-7874 Get Directions Write a Review

NPPES record last updated: June 3, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jeffery W. Edstrom NPPES

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

JEFFERY W. EDSTROM (NPI 1871916544) is a healthcare organization registered as a nurse anesthetist, certified registered in Sheridan, Wyoming and active in the NPI registry since January 2014. The organization lists Kimberly J Meier, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1871916544

Entity TypeOrganization

Primary Taxonomy367500000X

Legal Business NameJEFFERY W. EDSTROM

Location Address1524 W 5TH STSheridan, WY 82801-2707

Mailing AddressPo Box 767Sheridan, WY 82801-0767 · (307) 674-5123 · Fax (307) 674-5230

Phone(307) 672-7874

Organization SubpartNo

Authorized OfficialKimberly J MeierBilling Manager · (307) 674-5123

Enumeration DateJanuary 30, 2014

Last NPPES UpdateJune 3, 2014

✔ NPI 1871916544 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 WY · 23492.0828

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.

1524 W 5TH ST, Sheridan, WY 82801

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Other Identifiers 1

Medicaid1164427274WY

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 Blue Cross Blue Shield of Wyoming.Insurance ›

Other Providers at the Same Location NPPES 8

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

WESTERN DIVIDE ANESTHESIA, PC

Anesthesiology