Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jeremy R Taysom, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1093060170

Jeremy R Taysom, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Evanston, Wyoming. Qualified in 2012, 14 years ago. Practices with Evanston Hospital Corporation, a 14-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho and Wyoming.

Years since qualifying
14
Licensed in
ID, WY
In the registry since
2012
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

190 Arrowhead Dr
Evanston, WY 82930-9266
Phone: (307) 789-3636
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2910 E Tamarak Ave, Wasilla, AK 99654-7484 — (208) 421-4819

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 56824 (WY)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence RNA-837 (ID)

Record details

NPI number1093060170
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorYes
NPI enumeratedJuly 16, 2012
Last updated in NPPESAugust 14, 2025
Certification dateAugust 14, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Evanston Hospital Corporation — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Evanston