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

Scott J Rotar, CRNA

Individual provider Registered Nurse · NPI 1376586099

Scott J Rotar, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Woodruff, Wisconsin. Qualified in 2000, 26 years ago. Practices with Premier Clinics of Wisconsin SC, a 4-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
26
Licensed in
WI
In the registry since
2006
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

240 Maple St
Woodruff, WI 54568-0470
Phone: (715) 892-4835
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 051474 (WI)
Registered Nurse Taxonomy 163W00000X · Licence 127205-030 (WI)

Record details

NPI number1376586099
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJune 13, 2006
Last updated in NPPESApril 12, 2022
Certification dateApril 12, 2022
Mailing address240 Maple St, Woodruff, WI 54568-0470

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Premier Clinics Of Wisconsin Sc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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