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

Thomas Lamar Mouritsen

Individual provider Certified Registered Nurse Anesthetist · NPI 1811537012

Thomas Lamar Mouritsen is a Certified Registered Nurse Anesthetist (CRNA) in Winnemucca, Nevada. Qualified in 2019, 7 years ago. Practices with Saint Alphonsus Medical Center Baker City Inc, a 16-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho and Nevada.

Years since qualifying
7
Licensed in
ID, NV
In the registry since
2020
Specialties on file
2

Practice location Address checks out

118 E Haskell St
Winnemucca, NV 89445-3247
Phone: (775) 623-5222
Show map & directions

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

Additional practice locations (1)

  • 3325 Pocahontas Rd, Baker City, OR 97814-1464 — (541) 523-1797

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 202100196CRNA (ID)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 826747 (NV)

Record details

NPI number1811537012
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 15, 2020
Last updated in NPPESSeptember 18, 2025
Certification dateSeptember 18, 2025
Mailing addressPo Box 190930, Boise, ID 83719-0930

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 Saint Alphonsus Medical Center Baker City Inc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Winnemucca