TANYA FLORENCE WATERBURY CRNA
NPI 1972934180
Nurse Anesthetist, Certified Registered in La Crosse, WI

Active since December 13, 2013PECOS EnrolledAccepts Medicare Assignment
1836 SOUTH AVE, LA CROSSE, WI 54601(608) 782-7300 Get Directions Write a Review

NPPES record last updated: April 29, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Tanya Florence Waterbury Crna NPPES

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

TANYA FLORENCE WATERBURY CRNA (NPI 1972934180) is an individual nurse anesthetist, certified registered in La Crosse, Wisconsin, licensed in Minnesota (R 185512-8) and active in the NPI registry since December 2013. She is enrolled in Medicare PECOS, is affiliated with Tomah Memorial Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1972934180
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameTANYA FLORENCE WATERBURYCredential: CRNA
Location Address1836 SOUTH AVELa Crosse, WI 54601-5429
Mailing Address1836 South AveLa Crosse, WI 54601-5429 · (608) 782-7300
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateDecember 13, 2013
Last NPPES UpdateApril 29, 2015
✔ NPI 1972934180 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 MN · R 185512-8✔ Licensed in WI · 221949
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.
1836 SOUTH AVE, La Crosse, WI 54601

Other Names 1

Former Name (1)Tanya Florence Kellogg Crna

Other Identifiers 2

Medicaid1972934180MN
Medicare PINH400133434MN

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

Tanya Florence Waterbury 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 ID8426281049
PECOS Enrollment IDI20150522000656
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 Reassignments

4

Medicare enrollment records show Tanya Waterbury reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
1836 SOUTH AVE
La Crosse, WI 54601
  • Reassigned Medicare billing, Wisconsin enrollment
  • 928 clinicians in this Medicare group
Clinic/Center
710 DENTON ST
La Crosse, WI 54601
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,457 clinicians in this Medicare group
Critical Access
507 S MAIN ST
Viroqua, WI 54665
  • Reassigned Medicare billing, Wisconsin enrollment
  • 127 clinicians in this Medicare group
Critical Access
501 GOPHER DR
Tomah, WI 54660
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1992970453 (Wisconsin)
  • 188 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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tomah Memorial Hospital

Critical Access Hospitals · Tomah, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521320
Location501 Gopher DrTomah, WI 54660 · Monroe County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54601 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.

Anesthesiology
1836 SOUTH AVE, GUNDERSEN CLINIC, LTD.
LA CROSSE, WI 54601
Nurse Anesthetist, Certified Registered
1836 SOUTH AVE
LA CROSSE, WI 54601
Psychologist
1836 SOUTH AVE
LA CROSSE, WI 54601
Surgery
1836 SOUTH AVE
LA CROSSE, WI 54601
Nurse Practitioner (Adult Health)
1836 SOUTH AVE
LA CROSSE, WI 54601
Orthopaedic Surgery
1836 SOUTH AVE
LA CROSSE, WI 54601
Registered Nurse (Addiction (Substance Use Disorder))
1836 SOUTH AVE
LA CROSSE, WI 54601
Nurse Practitioner (Family)
1836 SOUTH AVE
LA CROSSE, WI 54601

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 Tanya Waterbury's NPI number?

The NPI number for Tanya Waterbury is 1972934180. It was assigned to this individual provider in the NPPES registry on December 13, 2013. The provider is also known as Tanya Florence Kellogg Crna.

Where is Tanya Waterbury located?

Tanya Waterbury practices at 1836 South Ave, La Crosse, WI 54601. The listed phone number is (608) 782-7300.

What is Tanya Waterbury's specialty?

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

Is Tanya Waterbury enrolled in Medicare?

Yes. Tanya Waterbury 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 Tanya Waterbury's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tanya Waterbury reassigns Medicare benefits to 4 organizations: Gundersen Clinic Ltd (La Crosse, WI), Gundersen Lutheran Medical Center, Inc (La Crosse, WI), Vernon Memorial Healthcare, Inc. (Viroqua, WI) and Tomah Memorial Hospital Inc (Tomah, 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 Tanya Waterbury's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Tanya Waterbury affiliated with any hospitals?

According to CMS data, Tanya Waterbury is affiliated with Tomah Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Tanya Waterbury was last updated on April 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.