NPIMap

Organization Active NPI

Rest Assured Anesthesia Management, Inc.

  • Certified Registered Nurse Anesthetist
  • Fremont, IN
National Provider Identifier
1063284891
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
REST ASSURED ANESTHESIA MANAGEMENT, INC.
Practice address
6245 N Old 27 Ste A10
Fremont, IN 46737-8707
Phone
(260) 577-5910
NPI assigned
Oct 25, 2023
Last updated
Oct 31, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Authorized official

Name
Chris J Quertermus, CRNA
Title
Vice President/Owner
Phone
(269) 720-6896

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X NU Primary

Addresses

Primary practice location

6245 N Old 27 Ste A10
Fremont, IN 46737-8707

Mailing address

PO Box 145
Plainwell, MI 49080-0145
Phone (269) 720-6896

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240329000796 IN Part B Supplier - Clinic/Group Practice 3274971007 Receives reassigned benefits from 5 practitioners
Practice locations: Fremont, IN
O20240909003365 MI Part B Supplier - Clinic/Group Practice 3274971007 Receives reassigned benefits from 22 practitioners
Practice locations: Battle Creek, MI; Kalamazoo, MI; Portage, MI; Zeeland, MI

National Provider Directory

National Provider Directory

Locations

7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1698192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698710400000",
    "number": "1063284891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 145",
            "city": "PLAINWELL",
            "state": "MI",
            "postal_code": "490800145",
            "telephone_number": "269-720-6896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6245 N OLD 27 STE A10",
            "city": "FREMONT",
            "state": "IN",
            "postal_code": "467378707",
            "telephone_number": "260-577-5910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REST ASSURED ANESTHESIA MANAGEMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-25",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A",
        "authorized_official_last_name": "QUERTERMUS",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VICE PRESIDENT/OWNER",
        "authorized_official_telephone_number": "269-720-6896",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; 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.