Individual provider Active NPI

Jo Ann Marie Pupaloski, CRNA

  • Certified Registered Nurse Anesthetist
  • Munster, IN
National Provider Identifier
1265766380
Registry record updated May 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
28171629A Issued in IN
Practice address
901 Macarthur Blvd
Attn Anesthesia
Munster, IN 46321-2901
Phone
(219) 836-7040
Fax
(219) 513-1127
NPI assigned
Sep 22, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2010

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 28171629A IN Primary

Addresses

Primary practice location

901 Macarthur Blvd
Attn Anesthesia
Munster, IN 46321-2901

Mailing address

901 Macarthur Blvd
Attn Anesthesia
Munster, IN 46321-2901
Phone (219) 836-7040

Other identifiers 2

IdentifierTypeStateIssuer
P00803962OtherINMEDICARE RAILROAD
000000634222MedicaidIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100218000121 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 3173667821 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Anesthesia Providers LTDGroup PAC ID 6709249006, 26 clinicians

Practice addresses (Care Compare)

9200 Calumet Ave
Suite 200
Munster, IN 46321-2885
Phone (219) 961-9621

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nwi Medical Associates , LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2024 Accepting new patients
St. Catherine Hospital Inc. CurrentSince Jun 21, 2014 Accepting new patients
Stat Anesthesia Specialists, LTD. CurrentSince Dec 20, 2024 Accepting new patients
Elite Anesthesia Providers, LTD Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2023 Accepting new patients
Stat Anesthesia Specialists LTD Current Accepting new patients
St Catherine Hospital Inc CurrentSince Jun 21, 2014 Accepting new patients
St Catherine Hospital Inc Current Accepting new patients
Jebs Anesthesia Consultants, LLC CurrentSince Feb 1, 2025 Accepting new patients

Locations

18221 Torrence Ave
Ste 1B
Lansing, IL 60438
Phone (708) 474-7600

4321 Fir St
East Chicago, IN 46312
Phone (219) 392-1700

3212 Hickory Rd
Ste A
Mishawaka, IN 46545
Phone (574) 251-0498

9200 Calumet Ave
Ste S100
Munster, IN 46321
Phone (219) 576-6260

9200 Calumet Ave
Ste E-100
Munster, IN 46321
Phone (219) 682-4051

901 MacArthur Blvd
Munster, IN 46321
Phone (219) 703-1443

9200 Calumet Ave
Ste N300
Munster, IN 46321
Phone (219) 273-2570

9200 Calumet Ave
Ste N500
Munster, IN 46321
Phone (219) 513-9955

9200 Calumet Ave
Ste 200
Munster, IN 46321
Phone (219) 961-9621

10220 Wicker Ave
Ste 3
Saint John, IN 46373
Phone (219) 515-6943

324 W US Highway 30
Schererville, IN 46375
Phone (219) 335-2400

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273795200000",
    "number": "1265766380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 MACARTHUR BLVD",
            "address_2": "ATTN ANESTHESIA",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212901",
            "telephone_number": "219-836-7040",
            "fax_number": "219-513-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 MACARTHUR BLVD",
            "address_2": "ATTN ANESTHESIA",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212901",
            "telephone_number": "219-836-7040",
            "fax_number": "219-513-1127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUPALOSKI",
        "first_name": "JO ANN",
        "middle_name": "MARIE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-22",
        "last_updated": "2010-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "28171629A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00803962",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000000634222",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2010; 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.

Verify at the official NPI Registry.