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

Mr. Kelly Jonathon Douck, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1447807086

Mr. Kelly Jonathon Douck, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Wausau, Wisconsin. Qualified in 2019, 7 years ago. Practices with Langlade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin, a 88-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
7
Licensed in
WI
In the registry since
2019
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

333 Pine Ridge Blvd
Wausau, WI 54401-4102
Phone: (715) 845-5505
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 127347 (WI)

Record details

NPI number1447807086
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorYes
NPI enumeratedAugust 19, 2019
Last updated in NPPESSeptember 20, 2019

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Langlade Hospital - Hotel Dieu Of St Joseph Of Antigo Wisconsin — 88 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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