JEREMY R TAYSOM CRNA
NPI 1093060170
Nurse Anesthetist, Certified Registered in Evanston, WY

NPI Status: Active since July 16, 2012

Contact Information

190 ARROWHEAD DR
EVANSTON, WY
ZIP 82930
Phone: (307) 789-3636

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  • Individual
  • Male
  • Years of Experience 14
  • Nurse Anesthetist, Certified Registered
  • Accepts Medicare Approved Payment

About JEREMY TAYSOM

This page provides the complete NPI Profile along with additional information for Jeremy Taysom, a provider established in Evanston, Wyoming with a medical specialization in Nurse Anesthetist, Certified Registered and more than 14 years of experience. The healthcare provider is registered in the NPI registry with number 1093060170 assigned on July 2012. The practitioner's primary taxonomy code is 367500000X with license number 56824 (WY). The provider is registered as an individual and his NPI record was last updated August 2025.

NPI
1093060170
Provider Name
JEREMY R TAYSOM CRNA
Gender
Male
Entity Type
Individual
Location Address
190 ARROWHEAD DR EVANSTON, WY 82930
Location Phone
(307) 789-3636
Mailing Address
444 CRANE AVE EVANSTON, WY 82930
Mailing Phone
(208) 421-4819
Medical School Name
OTHER
Graduation Year
2012
Is Sole Proprietor?
Yes
Enumeration Date
07-16-2012
Last Update Date
08-14-2025
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Location Map

Secondary Locations

  • 2910 E Tamarak Ave
    Wasilla, AK 99654
    (208) 421-4819

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Anesthetist, Certified Registered

Taxonomy Code
367500000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
56824
License State
WY
Taxonomy Description
(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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1367500000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Anesthetist, Certified Registered

RNA-837 (ID)

Medicare Participation & PECOS Enrollment Status

Jeremy Taysom is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 7810147154

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20170110002741

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Anesthesia for exam of colon using an endoscope

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.

This service was performed 26 times for 26 patients

Anesthesia for lens surgery

Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.

This service was performed 24 times for 23 patients

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

This service was performed 26 times for 26 patients

Anesthesia for other procedure on large bowel using an endoscope

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

This service was performed 25 times for 25 patients

Anesthesia for procedure on small and large bowel using an endoscope

Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.

This service was performed 18 times for 18 patients

Reviews for JEREMY R TAYSOM CRNA

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1093060170
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20183060114
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 8 + 3 + 0 + 6 + 0 + 1 + 1 + 4 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1093060170 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1063529568DR. KEVIN FRANCIS OMEARA M.D.
Individual
Emergency Medicine190 ARROWHEAD DR
EVANSTON, WY 82930
(307) 679-8391
1780708743 MARION CATHRYN BISHOP M.D.
Individual
Emergency Medicine190 ARROWHEAD DR EVANSTON REGIONAL HOSPITAL
EVANSTON, WY 82930
(307) 789-3636
1891979258EVANSTON ANESTHESIA ASSOCIATES, LLC
Organization
Nurse Anesthetist, Certified Registered190 ARROWHEAD DR
EVANSTON, WY 82930
(307) 783-8289
1730341298 STEVEN EDWARD MULLER RPH
Individual
Pharmacist190 ARROWHEAD DR
EVANSTON, WY 82930
(307) 783-8287
1891091898 TYLER LEE HUNT CRNA
Individual
Nurse Anesthetist, Certified Registered190 ARROWHEAD DR
EVANSTON, WY 82930
(307) 789-3636
1619383148UINTA EMERGENCY PHYSICIANS, LLC
Organization
Emergency Medicine (Emergency Medical Services)190 ARROWHEAD DR
EVANSTON, WY 82930
(307) 789-3636
1013394642UNIVERSITY OF UTAH ADULT SERVICES
Organization
Internal Medicine (Interventional Cardiology)190 ARROWHEAD DR
EVANSTON, WY 82930
(801) 585-0434
1902126824 IAN JAMES KENDRICK M.D.
Individual
Surgery190 ARROWHEAD DR
EVANSTON, WY 82930
(307) 783-8255
1871971184 DARYL MCLAREN
Individual
Emergency Medicine190 ARROWHEAD DR
EVANSTON, WY 82930
(307) 783-8255
1073167359EVANSTON REGIONAL PHYSICIANS LLC
Organization
Emergency Medicine190 ARROWHEAD DR
EVANSTON, WY 82930
(307) 789-3636
1639140015EVANSTON HOSPITAL CORPORATION
Organization
General Acute Care Hospital190 ARROWHEAD DR
EVANSTON, WY 82930
(307) 789-3636
1184706640EVANSTON EMERGENCY PHYSICIANS PLLC
Organization
Emergency Medicine (Emergency Medical Services)190 ARROWHEAD DR
EVANSTON, WY 82930
(307) 789-3636
1356313506EVANSTON HOSPITAL CORPORATION
Organization
Medicare Defined Swing Bed Unit190 ARROWHEAD DR
EVANSTON, WY 82930
(307) 789-3636
1891308300VALLEY VIEW EMERGENCY PHYSICIANS LLC
Organization
Emergency Medicine190 ARROWHEAD DR
EVANSTON, WY 82930
(307) 789-3636
1972981132UNIVERSITY OF UTAH ADULT SERVICES
Organization
Emergency Medicine190 ARROWHEAD DR
EVANSTON, WY 82930
(801) 581-2121
1801832548EVANSTON HOSPITAL CORPORATION
Organization
Emergency Medicine190 ARROWHEAD DR
EVANSTON, WY 82930
(307) 783-8161
1013288836EVANSTON HOSPITAL CORPORATION
Organization
Nurse Anesthetist, Certified Registered190 ARROWHEAD DR
EVANSTON, WY 82930
(307) 789-3636
1316946320DR. MARIA A CUDA D.O.
Individual
Hospitalist190 ARROWHEAD DR
EVANSTON, WY 82930
(307) 789-3636
1972326114 MACAYLA CAROLINE ARRINGTON RN
Individual
Registered Nurse (Emergency)190 ARROWHEAD DR
EVANSTON, WY 82930
(307) 783-8269
1710702733MRS. COURTNEY KATHLEEN BETTINSON BSN, RN
Individual
Registered Nurse (Obstetric, Inpatient)190 ARROWHEAD DR
EVANSTON, WY 82930
(307) 789-3636

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093060170, enumerated in the NPI registry as an "individual" on July 16, 2012

The provider is located at 190 Arrowhead Dr Evanston, Wy 82930 and the phone number is (307) 789-3636

The provider's speciality is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X

The provider has more than 14 years of experience.

The most common procedures or services performed by this practitioner are: Anesthesia for exam of colon using an endoscope, Anesthesia for lens surgery, Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope, Anesthesia for other procedure on large bowel using an endoscope and Anesthesia for procedure on small and large bowel using an endoscope.

This NPI record was last updated on July 16, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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