JEFFERY W EDSTROM
NPI 1164427274
Nurse Anesthetist, Certified Registered in Buffalo, WY
NPI Status: Active since June 15, 2005
Contact Information
497 W LOTT ST
BUFFALO, WY
ZIP 82834
Phone: (307) 684-5521
Fax: (307) 684-5385
- Individual
- Male
- Years of Experience 26
- Nurse Anesthetist, Certified Registered
- Accepts Insurance
- Accepts Medicare Approved Payment
About JEFFERY EDSTROM
This page provides the complete NPI Profile along with additional information for Jeffery Edstrom, a provider established in Buffalo, Wyoming with a medical specialization in Nurse Anesthetist, Certified Registered and more than 26 years of experience. The healthcare provider is registered in the NPI registry with number 1164427274 assigned on June 2005. The practitioner's primary taxonomy code is 367500000X with license number 129337 (WI). The provider is registered as an individual and his NPI record was last updated 11 years ago.
- NPI
- 1164427274
- Provider Name
- JEFFERY W EDSTROM
- Other Name
- JEFF W EDSTROM CRNA
- Other Name Type
- Other Name (5)
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 497 W LOTT ST BUFFALO, WY 82834
- Location Phone
- (307) 684-5521
- Location Fax
- (307) 684-5385
- Mailing Address
- 553 N PINNACLE DR BUFFALO, WY 82834
- Mailing Phone
- (307) 684-7817
- Medical School Name
- OTHER
- Graduation Year
- 2000
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-15-2005
- Last Update Date
- 06-03-2014
- Code Navigator
Location Map
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.
- 129337
- License State
- WI
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueSelect Bronze Basic - PPO
- BlueSelect Bronze Core - PPO
- BlueSelect Expanded Bronze Standard without Kid's Dental - PPO
- BlueSelect Gold Core - PPO
- BlueSelect Gold HealthPlus - PPO
- BlueSelect Gold Standard without Kid's Dental - PPO
- BlueSelect Silver Classic - PPO
- BlueSelect Silver Classic without Kid's Dental - PPO
- BlueSelect Silver HealthPlus - PPO
- BlueSelect Silver HealthPlus without Kid's Dental - PPO
- BlueSelect Silver Standard without Kid's Dental - PPO
- Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
- Medica Individual Choice Bronze HSA - EPO
- Medica Individual Choice Bronze Share - EPO
- Medica Individual Choice Bronze Share - HMO
- Medica Individual Choice Expanded Bronze Standard - EPO
- Medica Individual Choice Expanded Bronze Standard - HMO
- Medica Individual Choice Gold $0 Copay PCP Visits - EPO
- Medica Individual Choice Gold $0 Copay PCP Visits - HMO
- Medica Individual Choice Gold Share - EPO
- Medica Individual Choice Gold Share - HMO
- Medica Individual Choice Gold Standard - EPO
- Medica Individual Choice Gold Standard - HMO
- Medica Individual Choice Silver $0 Copay PCP Visits - EPO
- Medica Individual Choice Silver $0 Copay PCP Visits - HMO
- Medica Individual Choice Silver Share - EPO
- Medica Individual Choice Silver Share - HMO
- Medica Individual Choice Silver Standard - EPO
- Medica Individual Choice Silver Standard - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
004134217 | MEDICARE ID-TYPE UNSPECIFIED (04) | WI | |
43403300 | MEDICAID (05) | WI | |
211050115 | MEDICARE OSCAR/CERTIFICATION (06) | WI | |
P15494 | MEDICARE UPIN (02) |
Medicare Participation & PECOS Enrollment Status
Jeffery Edstrom 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: 1557326923
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: I20070412000027
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 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
Anesthesia for other procedure on top of arm bone and shoulder joint
Anesthesia for procedure on small and large bowel using an endoscope
Injection of anesthetic agent and/or steroid into arm nerve bundle
Ultrasonic guidance for needle placement
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 224 times for 189 patientsThis 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 25 patientsAnesthesia 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 16 times for 16 patientsAnesthesia for a procedure on the arm bone or shoulder joint involves using medication to numb the area or make you unconscious during surgery. This ensures you feel no pain during the procedure. It's a common and safe practice in medical surgeries.
This service was performed 14 times for 14 patientsAnesthesia 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 46 times for 46 patientsThis procedure involves injecting a numbing agent or steroid into your arm's nerve bundle. It's done to manage pain or inflammation. The injection helps block nerve signals that cause discomfort, providing relief. It's a safe, common procedure.
This service was performed 13 times for 13 patientsUltrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.
This service was performed 13 times for 13 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $32.34 for a new patient copayment and $17.58 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 82834 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $129.37
- Minimum New Patient Price $56.42
- Maximum New Patient Price $170.72
- Average New Patient Copayment $32.34
- Minimum New Patient Copayment $14.1
- Maximum New Patient Copayment $42.68
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $70.32
- Minimum Established Patient Price $18.19
- Maximum Established Patient Price $139.32
- Average Established Patient Copayment $17.58
- Minimum Established Patient Copayment $4.54
- Maximum Established Patient Copayment $34.83
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Jeffery Edstrom is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
JOHNSON COUNTY HEALTHCARE CENTER | 497 WEST LOTT BUFFALO, WY 82834 | (307) 684-5521 | Critical Access Hospitals |
Reviews for JEFFERY W EDSTROM
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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. | |||||||||
1 | 1 | 6 | 4 | 4 | 2 | 7 | 2 | 7 | 4 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 1 | 12 | 4 | 8 | 2 | 14 | 2 | 14 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 1 + 1 + 2 + 4 + 8 + 2 + 1 + 4 + 2 + 1 + 4 + 24 = 56 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 56 = 4 | 4 |
The NPI number 1164427274 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 11 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1346228483 | MR. LAWRENCE EDWARD KIRVEN MD Individual | Family Medicine | 497 W LOTT ST BUFFALO, WY 82834 (307) 684-2228 |
1316925456 | MR. AUBREY DOZIER TABB MD Individual | Family Medicine | 497 W LOTT ST BUFFALO, WY 82834 (307) 684-2228 |
1023096153 | MR. HERMILO GONZALEZ JR. MD Individual | Family Medicine | 497 W LOTT ST BUFFALO, WY 82834 (307) 684-2228 |
1336128883 | MRS. TRACI DENISE DARNELL PA C Individual | Physician Assistant (Medical) | 497 W LOTT ST BUFFALO, WY 82834 (307) 684-2228 |
1629364377 | LISA MARIE MULLEN MD Individual | Family Medicine | 497 W LOTT ST BUFFALO, WY 82834 (307) 684-2228 |
1417915950 | ANGELA L KNUTSON PA Individual | Physician Assistant | 497 W LOTT ST BUFFALO, WY 82834 (307) 684-5521 |
1245719475 | MR. MITCHELL F VOLIN PA-C Individual | Physician Assistant (Medical) | 497 W LOTT ST BUFFALO, WY 82834 (307) 684-2228 |
1336229624 | DR. JENNIFER ANN RICE M.D. Individual | Family Medicine | 497 W LOTT ST BUFFALO, WY 82834 (307) 684-2228 |
1083044630 | MRS. CHELSEA PUENTE PA-C Individual | Physician Assistant | 497 W LOTT ST BUFFALO, WY 82834 (307) 684-5521 |
1417732074 | MARYE CARLSON PT, DPT Individual | Physical Therapist | 497 W LOTT ST BUFFALO, WY 82834 (307) 684-6172 |
1922843135 | MATTHEW JAMES SCARLETT MS, PT, DPT Individual | Physical Therapist | 497 W LOTT ST BUFFALO, WY 82834 (307) 684-5521 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164427274, enumerated in the NPI registry as an "individual" on June 15, 2005
The provider is located at 497 W Lott St Buffalo, Wy 82834 and the phone number is (307) 684-5521
The provider's speciality is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X
The provider has more than 26 years of experience.
The provider might be accepting Accepts: Blue Cross Blue Shield of Wyoming, Medica,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Medicare beneficiaries should expect a typical cost of $129.37 with an average copayment of $32.34 for new patient appointments. Established patients should expect a typical charge of $70.32 and an average copayment of 17.58. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: 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, Anesthesia for other procedure on top of arm bone and shoulder joint, Anesthesia for procedure on small and large bowel using an endoscope, Injection of anesthetic agent and/or steroid into arm nerve bundle and Ultrasonic guidance for needle placement.
The practitioner is affiliated to the following hospital(s): JOHNSON COUNTY HEALTHCARE CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on June 15, 2005. 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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