Frederick S Utter, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

AP102926 Issued in TX

Practice address

1900 Denver Ave
El Paso, TX 79902-3008

Phone

(915) 577-0111

Fax

(915) 533-2568

NPI assigned

Jul 19, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NM, TX2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Frederick S Utter MHS Crna PCGroup PAC ID 6002094992, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christus Southern New Mexico Hospital, Alamogordo, NM, CCN 320004

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Frederick S Utter MHS Crna PC

  • Certified Registered Nurse Anesthetist
  • El Paso, TX
  • NPI 1700189925

  NM

  Medicare reassignment Care Compare group Authorized official
• El Paso ASC LP

  • Ambulatory Surgical Clinic/Center
  • El Paso, TX
  • NPI 1033181862
  Medicare reassignment NPD
• Texas Ams PLLC

  • Anesthesiology Physician
  • Pensacola, FL
  • NPI 1174926125

  Nurse Anesthetist, Certified Registered, TX

  Medicare reassignment NPD
• El Paso Anesthesiology, P.a.

  • Anesthesiology Physician
  • El Paso, TX
  • NPI 1417996497
  NPD (past)
• El Paso Specialty Physicians Group

  • Orthopaedic Surgery Physician
  • El Paso, TX
  • NPI 1194260646
  NPD (past)
• RG Hardaway, Inc.

  • Certified Registered Nurse Anesthetist
  • El Paso, TX
  • NPI 1114021300

  Nurse Anesthetist, Certified Registered

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Otero County Hospital Association

  • General Acute Care Hospital
  • Alamogordo, NM
  • NPI 1861450579
  Care Compare affiliation

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1306845508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3947 LAS VEGAS DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799021728",
            "telephone_number": "915-772-4551",
            "fax_number": "915-232-9920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 DENVER AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799023008",
            "telephone_number": "915-577-0111",
            "fax_number": "915-533-2568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UTTER",
        "first_name": "FREDERICK",
        "middle_name": "S",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NM",
            "license": "CRNA00801",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "04035",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP102926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126119009",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00091755",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COUNCIL NURSE ANESTHETIST",
            "identifier": "040435",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Certified Registered Nurse Anesthetist in El Paso, TX
• Providers in El Paso, TX by specialty
• Certified Registered Nurse Anesthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; 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.