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

Timothy Richard Entzeroth, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1356912257

Timothy Richard Entzeroth, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Yakima, Washington. Qualified in 2021, 5 years ago. Practices with Midwest Anesthesia Providers SC, a 182-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
5
Licensed in
MO
In the registry since
2021
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

2811 Tieton Dr
Yakima, WA 98902-3761
Phone: (509) 575-8000
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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 133972 (MO)

Record details

NPI number1356912257
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorYes
NPI enumeratedJuly 2, 2021
Last updated in NPPESJuly 2, 2021
Certification dateJuly 2, 2021

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Midwest Anesthesia Providers Sc — 182 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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