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

Ty D Thornock, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1720098197

Ty D Thornock, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Shawano, Wisconsin. Qualified in 1998, 28 years ago. Practices with Association of Hospital Anesthesiologists SC, a 83-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
28
Licensed in
WI
In the registry since
2006
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

100 County Road B
Shawano, WI 54166-7072
Phone: (715) 524-2161
Show map & directions

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

Additional practice locations (1)

  • 1405 Mill St, New London, WI 54961-2155 — (920) 531-2000

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 2685-033 (WI)

Record details

NPI number1720098197
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedAugust 9, 2006
Last updated in NPPESMarch 17, 2018

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Association Of Hospital Anesthesiologists Sc — 83 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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