Active NPI
Christine M Dostal, CRNA
- Certified Registered Nurse Anesthetist
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 101472
- Practice address
- 7500 Mercy Rd Ste 1355
Omaha, NE 68124-2319 - Phone
- (402) 717-4866
- Fax
- (402) 818-2088
- NPI assigned
- Aug 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | D109725 | IA | |
| Certified Registered Nurse Anesthetist | 367500000X | 101472 | NE | Primary |
Addresses
Primary practice location
7500 Mercy Rd Ste 1355
Omaha, NE 68124-2319
Mailing address
7261 Mercy Rd
Omaha, NE 68124-2311
Other practice location 1
201 Ridge St Ste 102
Council Bluffs, IA 51503-4643
Phone (712) 396-4359
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 067520003 | Other | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4909 S 118TH St
Omaha, NE 68137-2213
Phone (402) 397-2010
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D109725 | IA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leighow Anesthesia & Medical Aesthetics LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| TTB Services Prof LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| CHI Health Clinic Physician Enterprise-Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| CHI Health Clinic Physician Enterprise-Anesthesia LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| CHI Health Clinic Specialty, LLC | Past | Accepting new patients |
Locations
2727 N Clarkson St
Fremont, NE 68025
Phone (402) 727-8500
6901 N 72nd St
Ste 22330
Omaha, NE 68122
Phone (402) 717-4673
7500 Mercy Rd
Ste 1355
Omaha, NE 68124
Phone (402) 717-4866
11704 W Center Rd
Ste 110
Omaha, NE 68144
Phone (402) 212-0847
11606 Nicholas St
Omaha, NE 68154
Phone (402) 493-2020
7261 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6248
4909 S 118th St
Omaha, NE 68137
Phone (402) 397-2010
11819 Miracle Hills Dr
Ste 201
Omaha, NE 68154
Phone (402) 884-2450
6901 N 72nd St
Omaha, NE 68122
Phone (402) 572-2121
9850 Nicholas St
Omaha, NE 68114
Phone (402) 343-1122
535 Fortune Dr
Ste 200
Papillion, NE 68046
Phone (402) 934-8040
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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NE, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Omaha, NE
- NPI 1356858419
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Omaha, NE
- NPI 1376936112
Nurse Anesthetist, Certified Registered
-
- Hospitalist Physician
- Lincoln, NE
- NPI 1285138065
-
- Anesthesiology Physician
- Council Bluffs, IA
- NPI 1639687114
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525219200000",
"number": "1245347202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7261 MERCY RD",
"city": "OMAHA",
"state": "NE",
"postal_code": "681242311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7500 MERCY RD STE 1355",
"city": "OMAHA",
"state": "NE",
"postal_code": "681242319",
"telephone_number": "402-717-4866",
"fax_number": "402-818-2088"
}
],
"practiceLocations": [
{
"address_1": "201 Ridge St Ste 102",
"address_purpose": "LOCATION",
"city": "Council Bluffs",
"state": "IA",
"postal_code": "515034643",
"country_code": "US",
"telephone_number": "712-396-4359",
"fax_number": "712-396-4358",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOSTAL",
"first_name": "CHRISTINE",
"middle_name": "M",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-24",
"last_updated": "2018-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IA",
"license": "D109725",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NE",
"license": "101472",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "067520003",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.