Individual provider Active NPI

Martha Louise Uebelhoer, CRNA

  • Certified Registered Nurse Anesthetist
  • Bloomington, IN
National Provider Identifier
1003801218
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
28105421A Issued in IN
Practice address
2920 McIntyre Dr
Suite 150
Bloomington, IN 47403-4221
Phone
(812) 333-7246
Fax
(812) 333-4471
NPI assigned
Sep 14, 2005
Last updated
Aug 31, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 28105421A IN Primary

Addresses

Primary practice location

2920 McIntyre Dr
Suite 150
Bloomington, IN 47403-4221

Mailing address

PO Box 5635
Attn: Maria Mitchell
Bloomington, IN 47407-5635
Phone (812) 337-5003

Other practice location 1

9617 Gulf Research Ln
Fort Myers, FL 33912-4560
Phone (239) 418-0999

Other identifiers 3

IdentifierTypeStateIssuer
000000249973OtherINSIA ANTHEM
APRN11002766OtherFLLICENSE
200241170MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220720004062 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 7012001282 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
28105421AINMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Indiana Anesthesia Associates PC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2020 Accepting new patients
Centurian Anesthesia Management Nurse Anesthetist, Certified Registered CurrentSince May 1, 2025 Accepting new patients
Anesthesia Care of Bloomington PC Past Accepting new patients
Outpatient Anesthesia of Southwest Florida Inc PastSince Jan 1, 2013 Accepting new patients
Southern Indiana Anesthesiology Nurse Anesthetist, Certified Registered Past Accepting new patients
Monroe Physicians Group Past Accepting new patients
Amsol Anesthetists of Indiana LLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

6241 Arc Way
Fort Myers, FL 33966
Phone (239) 278-9955

6241 Arc Way
Ste B
Fort Myers, FL 33966
Phone (239) 278-9955

3200 Sycamore Ct
Ste 1B
Columbus, IN 47203
Phone (812) 376-0800

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1003801218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5635",
            "address_2": "ATTN: MARIA MITCHELL",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474075635",
            "telephone_number": "812-337-5003",
            "fax_number": "812-337-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 MCINTYRE DR",
            "address_2": "SUITE 150",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474034221",
            "telephone_number": "812-333-7246",
            "fax_number": "812-333-4471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9617 Gulf Research Ln",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339124560",
            "country_code": "US",
            "telephone_number": "239-418-0999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UEBELHOER",
        "first_name": "MARTHA",
        "middle_name": "LOUISE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-14",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "28105421A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIA ANTHEM",
            "identifier": "000000249973",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "APRN11002766",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200241170",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.