JARED WEISHAAR – Certified Registered Nurse Anesthetist, NPI 1295242907

JARED WEISHAAR is a healthcare provider. based in Gillette, Wyoming. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 41019.1705 (WY). The NPI Number for JARED WEISHAAR is 1295242907

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
JARED WEISHAAR
NPI
1295242907
Phone
(307) 688-1000
Address
501 S BURMA AVE
Enumeration Date
3 January 2018
Last Update Date
3 January 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4064343200
Graduation Year
2017 (9 years ago)
PAC ID
4789935073
Group Practice PAC ID
6608285192
Professional Enrollment ID
I20210618002070
Address ID
MT594741663SH640XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

70 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in WY

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Provider Addresses for JARED WEISHAAR

  • Campbell County Health, 501, South Burma Avenue, Gillette, Campbell County, Wyoming, 82716, United States

    GILLETTE, WY 827163426

    Phone: (307) 688-1000

    Type: Location

  • 4311, Quarter Circle Court, RC Ranch, Gillette, Campbell County, Wyoming, 82718, United States

    GILLETTE, WY 827182022

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-06-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180926000869ICertified Registered Nurse Anesthetist (Crna)WYTBD
I20210618002070ICertified Registered Nurse Anesthetist (Crna)MTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 82716)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6608285192View full group profile
NameSpecialtyState
Nurse PractitionerMT
Nurse PractitionerVA
Physician AssistantAZ
Family PracticeMT
Nurse PractitionerMT
Physician AssistantMT
General SurgeryMT

Reviews

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Frequently asked questions

What is the registry number for JARED WEISHAAR?
The registry entry for JARED WEISHAAR shows NPI 1295242907.
Should I treat JARED WEISHAAR as an active provider?
Patients and plans typically see JARED WEISHAAR as active in the national extract.
What does the directory say JARED WEISHAAR does?
Insurance directories may phrase it differently, but here JARED WEISHAAR maps to Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is JARED WEISHAAR tied to Gillette, Wyoming?
If you are local to Gillette, Wyoming, JARED WEISHAAR may be relevant to your search.
Can I export JARED WEISHAAR's record?
You can download the official NPPES record; we summarize key fields for readability.

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