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Active NPI 1780098442 Individual Practitioner Male Practitioner

Daniel Forrest Slack , CRNA

Nurse Anesthetist, Certified Registered • Port Angeles, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Daniel Slack, CRNA is a certified Nurse Anesthetist, Certified Registered practicing in Port Angeles, WA. With approximately 12 years of clinical experience since completing medical education in 2014, Daniel Slack delivers high-quality medical care to the local community at 939 CAROLINE ST.

Daniel Slack is affiliated with Medstream Anesthesia Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include anesthesia for procedure on large bowel using an endoscope, anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope, anesthesia for exam of colon using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

939 Caroline St

Port Angeles, WA 983623909

Telephone 3604177711
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Anesthetist, Certified Registered in Port Angeles, WA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
12 Yrs Matches City Avg
City Avg: 12.0 Yrs
State Avg: 15.5 Yrs
Regional Practice Density
1 Specialists

Practicing in Port Angeles, WA (1205 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
87.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Slack (12 Years) 12 Yrs
Port Angeles Specialty Average (12.0 Years) 12.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
00811 Anesthesia for procedure on large bowel using an endoscope
70 70 $954.70 $124.37
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope
39 39 $990.46 $127.52
00812 Anesthesia for exam of colon using an endoscope
22 22 $935.09 $100.00
01810 Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand
17 17 $905.41 $118.18
00813 Anesthesia for procedure on small and large bowel using an endoscope
15 15 $1085.33 $144.98

Medical Specialties & State Licenses

CMS Verified: 2021-09-03
Nurse Anesthetist, Certified Registered Primary Specialty

NUCC Taxonomy Code: 367500000X

State License WA AP60651342

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Nurse Anesthetist, Certified Registered

NUCC Taxonomy Code: 367500000X

State License WA 6134-33

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Nurse Anesthetist, Certified Registered

NUCC Taxonomy Code: 367500000X

State License OR 201606815CRNA-P

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Nurse Anesthetist, Certified Registered

NUCC Taxonomy Code: 367500000X

State License ID 64001

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Nurse Anesthetist, Certified Registered

NUCC Taxonomy Code: 367500000X

State License NY 712720

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2093758 (WA)

Hospital & Practice Group Affiliations

Medstream Anesthesia Pllc

939 Caroline St, Port Angeles, WA 983623909

Phone: 3604177000

Secondary Practice Locations

801 E Wheeler Rd

Moses Lake, WA 988371899

Phone: 5097655606

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Megan Root , RN

Registered Nurse

NPI 1013775873

Registered Nurse

Dr. Lilly Rezvani , MD

Radiology - Diagnostic Radiology

NPI 1013985456

Doctor of Medicine (M.D.)

Fallon Clancy , PA

Physician Assistant

NPI 1023580461

Physician Assistant

Patrick Bess , OT

Occupational Therapist

NPI 1023847829

Occupational Therapist

Pat Shaughnessy , RN

Registered Nurse

NPI 1043082241

Registered Nurse

Emma Olson , NAC

Nurse's Aide

NPI 1053183624

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Business Mailing Address July 14, 2022

Registered at 660 S COOLIDGE ST, MOSES LAKE, WA 988371872 (Tel: 5097939715)

📍
Updated Practice Location October 08, 2020

Registered at 939 CAROLINE ST, PORT ANGELES, WA 983623909 (Tel: 3604177711)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 08, 2020

Nurse Anesthetist, Certified Registered (License #6134-33 in WA)

NPI Profile Active June 20, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location June 20, 2014

Registered at 425 PINE RIDGE BLVD, SUITE 211, WAUSAU, WI 544014123 (Tel: 7158472000)

📍
Updated Business Mailing Address June 20, 2014

Registered at 209 WOODLANDS VILLAGE DR, COLUMBIA, SC 292292315 (Tel: 4355906851)

👤
Provider Name / Credentials Updated June 20, 2014

Recorded as DANIEL SLACK, CRNA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 20, 2014

Nurse Anesthetist, Certified Registered (License #219968 in SC)

🟢
Initial NPI Registration & Enumeration June 20, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1780098442
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 20, 2014
Last Update: July 14, 2022
Sole Proprietor: No

Mailing Address

660 S Coolidge St

Moses Lake, WA 988371872

Phone: 5097939715

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.