ANESTHESIA SERVICES OF THE FOX VALLEY, S.C. — NPI 1134585508 (Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Anesthetist, Certified Registered in OSHKOSH, WI)

CMS-1500 Box 24J / 33a • NPI

1134585508

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

367500000X (CMS 43)

Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Anesthetist, Certified Registered

Box 32 Service Location & ZIP+4

500 S OAKWOOD RD, OSHKOSH, WI, 54904-7944

✓ 9-Digit EDI 837 ZIP+4 (54904-7944)

Practice Phone & Referral Fax

(920) 223-1941

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1134585508 (ANESTHESIA SERVICES OF THE FOX VALLEY, S.C.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1134585508` (NPI-2 Organization / Facility)
Provider / Legal Name	ANESTHESIA SERVICES OF THE FOX VALLEY, S.C.
Plain-English Specialty	Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Anesthetist, Certified Registered NUCC Code: `367500000X` (Nurse Anesthetist, Certified Registered)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	500 S OAKWOOD RD, OSHKOSH, WI, 54904-7944
Practice Telephone / Fax	Tel: (920) 223-1941
Administrative Mailing Address	926 ROOSEVELT ST, KAUKAUNA, WI, 54130-1660
Enumeration & Last Sync	Enumerated: 2016-01-14 \| CMS Record Updated: 2016-01-14
Authorized Official	MICHAEL NIGL (Practice Manager)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

500 S OAKWOOD RD, OSHKOSH, WI, 54904-7944

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Plain-English Taxonomy & CMS Crosswalk (367500000X)

What Does Taxonomy Code 367500000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 367500000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Anesthetist, Certified Registered"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 43 (Certified Registered Nurse Anesthetist (CRNA))
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Nurse Anesthetist, Certified Registered for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ANESTHESIA SERVICES OF THE FOX VALLEY, S.C.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`367500000X` — Nurse Anesthetist, Certified Registered Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Anesthetist, Certified Registered	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ANESTHESIA SERVICES OF THE FOX VALLEY, S.C. (NPI #1134585508)