Thomas Lamar Mouritsen, - Medicare Certified Registered Nurse Anesthetist (crna) in Winnemucca, NV

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Thomas Lamar Mouritsen, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Winnemucca, Nevada. He graduated from nursing school in 2019 and has 6 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Grande Ronde Hospital Inc and his current practice location is 118 E Haskell St, Winnemucca, Nevada. You can reach out to his office (for appointments etc.) via phone at (775) 623-5222.

Thomas Lamar Mouritsen is licensed to practice in Idaho (license number 202100196CRNA) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1811537012.

Contact Information

Thomas Lamar Mouritsen,
118 E Haskell St,
Winnemucca, NV 89445-3247
(775) 623-5222
Not Available

Map and Direction




Provider's Profile

Full NameThomas Lamar Mouritsen
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience6 Years
Location118 E Haskell St, Winnemucca, Nevada
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Thomas Lamar Mouritsen graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1811537012
  • Provider Enumeration Date: 01/15/2020
  • Last Update Date: 09/18/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1951738665
  • Enrollment ID: I20210305000270

Medical Identifiers

Medical identifiers for Thomas Lamar Mouritsen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811537012NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 202100196CRNA (Idaho)Primary
367500000XNurse Anesthetist, Certified Registered 826747 (Nevada)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Grande Ronde HospitalLa grande, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Grande Ronde Hospital Inc054717078976

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Thomas Lamar Mouritsen allows following entities to bill medicare on his behalf.
Entity NameGrande Ronde Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467446195
PECOS PAC ID: 0547170789
Enrollment ID: O20031124000758
Entity NameHarney District Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285742338
PECOS PAC ID: 6800877424
Enrollment ID: O20040528000077
Entity NameGrande Ronde Hospital Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1467446195
PECOS PAC ID: 0547170789
Enrollment ID: O20061104000155

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Thomas Lamar Mouritsen is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Thomas Lamar Mouritsen,
Po Box 190930,
Boise, ID 83719-0930

Ph: (208) 367-5170		Thomas Lamar Mouritsen,
118 E Haskell St,
Winnemucca, NV 89445-3247

Ph: (775) 623-5222

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Winnemucca, NV

Carole Cain, RN, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 118 E Haskell St, Winnemucca, NV 89445
Phone: 775-623-5222    Fax: 775-623-5904
Rufus Edwin Mohr, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 118 East Haskell St, Winnemucca, NV 89445
Phone: 775-623-5222    Fax: 775-625-8590

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.