Individual provider Active NPI

Bertha M Doss, CRNA

  • Certified Registered Nurse Anesthetist
  • Norwich, CT
National Provider Identifier
1386701795
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
209001074 Issued in IL
Practice address
326 Washington St
Anesthesia Department
Norwich, CT 06360-2740
Phone
(860) 826-6395
Fax
(860) 823-6563
NPI assigned
Jan 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 71264 WV
Certified Registered Nurse Anesthetist 367500000X 003771 CT
Certified Registered Nurse Anesthetist 367500000X 209001074 IL Primary

Addresses

Primary practice location

326 Washington St
Anesthesia Department
Norwich, CT 06360-2740

Mailing address

8306 Wilshire Blvd Apt 1529
Beverly Hills, CA 90211
Phone (310) 497-2483

Other practice location 1

800 E Carpenter St
Springfield, IL 62769-2740
Phone (217) 544-6464

Other identifiers 2

IdentifierTypeStateIssuer
71264OtherWVRN REGISTRATION
3810010339MedicaidWV

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bdoss166763@ewd.direct.hshs.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, NY, ME3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040326001330 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 8820980527 Reassigns benefits to 5 organizations
I20090217000432 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 8820980527 Reassigns benefits to 3 organizations
I20120611000521 ME Practitioner - Certified Registered Nurse Anesthetist (Crna) 8820980527 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guthrie Medical Group PCGroup PAC ID 6002728656, 795 clinicians

Practice addresses (Care Compare)

1 Guthrie Dr
Corning, NY 14830-3696
Phone (607) 973-7200

Hospital & facility affiliations

  • Corning Hospital Hospital, Corning, NY, CCN 330277

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
003771CTMDCertified Registered Nurse Anesthetist
209001074ILMDCertified Registered Nurse Anesthetist
71264WVMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
St. Mary'S Hospital, Centralia, Illinois Current Accepting new patients
St. Mary'S Hospital, Centralia, Illinois CurrentSince Feb 1, 2017 Accepting new patients
Claxton-Hepburn Medical Center CurrentSince Oct 9, 2024 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Aug 29, 2025 Accepting new patients
G & G Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2025 Accepting new patients
North American Partners in Anesthesia (Illinois), LLC CurrentSince Jun 2, 2022 Accepting new patients
Calais Community Hospital Current Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Aug 29, 2025 Accepting new patients
St. Mary'S Hospital, Centralia, Illinois CurrentSince Feb 1, 2017 Accepting new patients
Midwest Anesthesia Providers S.C Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2025 Accepting new patients
Jefferson Anesthesiologist Services PC CurrentSince Aug 1, 2015 Accepting new patients
City of Hope Medical Group of Illinois PLLC Past Accepting new patients
Northwest Anesthesia LTD Past Accepting new patients
Wvuh-East Services, Inc Past Accepting new patients
City Hospital Inc Nurse Anesthetist, Certified Registered Past Accepting new patients
Eastern Panhandle Anesthesia Associates Past Accepting new patients
Anesthesia Associates of St. Louis, Inc. Nurse Anesthetist, Certified Registered Past Accepting new patients
Premier Anesthesia of Danville Past Accepting new patients
St John'S Regional Medical Center Nurse Anesthetist, Certified Registered Past Accepting new patients
St Johns Regional Medical Center Nurse Anesthetist, Certified Registered Past Accepting new patients
Sangamon Associated Anesthesiologists, S.C. Nurse Anesthetist, Certified Registered Past Accepting new patients
Poplar Bluff Regional Medical Center LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Mid-America Anesthesia Consultants, PC Past Accepting new patients
Norwich Anesthesia Associates, PC Past Accepting new patients

Locations

1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240

1 Saint Anthonys Way
Alton, IL 62002
Phone (618) 233-6870

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

400 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5221

7420 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-3155

812 N Logan Ave
Danville, IL 61832
Phone (217) 443-5000

1215 Franciscan Dr
Litchfield, IL 62056
Phone (217) 324-2191

3333 W Deyoung St
Marion, IL 62959
Phone (618) 998-7020

800 E Carpenter St
Springfield, IL 62769
Phone (217) 525-5643

800 E Carpenter St
Rm 2K
Springfield, IL 62769
Phone (217) 525-5643

4500 Memorial Dr
Swansea, IL 62226
Phone (618) 233-7750

24 Hospital Ln
Calais, ME 04619
Phone (207) 454-9213

11133 Dunn Rd
Saint Louis, MO 63136
Phone (314) 653-5000

39 W Main St
Canton, NY 13617
Phone (315) 379-4700

130 Center Way
Corning, NY 14830
Phone (607) 936-9971

1 Guthrie Dr
Corning, NY 14830
Phone (607) 937-7130

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

214 King St
Ogdensburg, NY 13669
Phone (315) 713-5660

830 Washington St
Watertown, NY 13601
Phone (315) 785-4000

Interoperability endpoints

  • Direct secure messaging: bdoss166763@ewd.direct.hshs.org

Organizations & group practices 26

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.

View all 26

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1386701795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8306 WILSHIRE BLVD APT 1529",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "90211",
            "telephone_number": "310-497-2483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 WASHINGTON ST",
            "address_2": "ANESTHESIA DEPARTMENT",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602740",
            "telephone_number": "860-826-6395",
            "fax_number": "860-823-6563"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 E Carpenter St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627692740",
            "country_code": "US",
            "telephone_number": "217-544-6464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOSS",
        "first_name": "BERTHA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WV",
            "license": "71264",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CT",
            "license": "003771",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209001074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN REGISTRATION",
            "identifier": "71264",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810010339",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bdoss166763@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "800 E Carpenter St",
            "city": "Springfield",
            "state": "IL",
            "country_code": "US",
            "postal_code": "627692740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Norwich, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; 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.