Individual provider Active NPI

Gisella P Puga, CRNA

  • Certified Registered Nurse Anesthetist
  • Fort Wayne, IN
National Provider Identifier
1417285032
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
28137223A Issued in IN
Practice address
5050 N Clinton St
Fort Wayne, IN 46825-5886
Phone
(260) 484-8551
Fax
(260) 482-5060
NPI assigned
Nov 19, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 161875 AK
Certified Registered Nurse Anesthetist 367500000X 28137223A IN Primary

Addresses

Primary practice location

5050 N Clinton St
Fort Wayne, IN 46825-5886

Mailing address

5052 N Clinton St
Fort Wayne, IN 46825-5822
Phone (260) 484-8551

Other practice location 1

1650 Cowles St
Fairbanks, AK 99701-5998
Phone (907) 458-5656

Other identifiers 2

IdentifierTypeStateIssuer
1716095MedicaidAK
200972070MedicaidIN

Other names 1

  • Gisells P Santillana Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, AK, CO, NY, IA5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20100303000296 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 9830234707 Reassigns benefits to 2 organizations
I20210105002610 AK Practitioner - Certified Registered Nurse Anesthetist (Crna) 9830234707 Reassigns benefits to 2 organizations
I20220929001546 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 9830234707
I20250519001915 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 9830234707 Reassigns benefits to 5 organizations
I20260608001946 IA Practitioner - Certified Registered Nurse Anesthetist (Crna) 9830234707 Reassigns benefits to 2 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
Green Anesthesia Iowa PLLCGroup PAC ID 0749771129, 17 clinicians
Rochester General HospitalGroup PAC ID 0244149474, 1,192 clinicians
The Unity Hospital of RochesterGroup PAC ID 9436060969, 732 clinicians
Clifton Springs Sanitarium CoGroup PAC ID 5092704809, 230 clinicians
Anesthesia Consultants of Fairbanks LLCGroup PAC ID 9234566340, 9 clinicians

Practice addresses (Care Compare)

1221 S Gear Ave
West Burlignton, IA 52655-1679
Phone (319) 768-1000

1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-4000

1555 Long Pond Rd
Rochester, NY 14626-4122
Phone (585) 723-4000

2 Coulter Rd
Clifton Springs, NY 14432-1122
Phone (315) 462-5711

2310 Peger Rd
Fairbanks, AK 99709-5305
Phone (469) 437-3564

5445 Ave O
Fort Madison, IA 52627-9611
Phone (319) 372-6530

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.06 of 100Reported as group
Quality
64.36
Promoting interoperability
81
Improvement activities
40
Cost
75.01

Merit-based Incentive Payment System (MIPS)

Final score
92.86 of 100Reported as group
Quality
94.88
Promoting interoperability
100
Improvement activities
40
Cost
79.39

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28137223AINMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesiology Group Associates PC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2023 Accepting new patients
Southeast Iowa Regional Medical Center, Inc. CurrentSince Feb 1, 2024 Accepting new patients
The Unity Hospital of Rochester Current Accepting new patients
Rochester General Hospital CurrentSince Mar 31, 2025 Accepting new patients
Rochester General Hospital CurrentSince Mar 31, 2025 Accepting new patients
The Unity Hospital of Rochester CurrentSince Mar 31, 2025 Accepting new patients
Tanana Valley Clinic LLC CurrentSince Oct 1, 2020 Accepting new patients
Surgery One Anesthesia, LLC CurrentSince May 12, 2018 Accepting new patients
Tanana Valley Clinic LLC CurrentSince Oct 1, 2020 Accepting new patients
Clifton Springs Sanitarium Co CurrentSince Mar 31, 2025 Accepting new patients
Anesthesia Consultants of Fairbanks LLC CurrentSince Jan 1, 2026 Accepting new patients
Newark Wayne Community Hospital CurrentSince Mar 31, 2025 Accepting new patients
United Memorial Medical Center Current Accepting new patients
United Memorial Medical Center CurrentSince Mar 31, 2025 Accepting new patients
Newark Wayne Community Hospital CurrentSince Mar 31, 2025 Accepting new patients
Uchealth Estes Valley Medical Center Current Accepting new patients

Locations

2310 Peger Rd
Fairbanks, AK 99709
Phone (907) 458-7263

1001 Noble St
Fairbanks, AK 99701
Phone (907) 276-2806

1650 Cowles St
Fairbanks, AK 99701
Phone (907) 452-8181

555 Prospect Ave
Ph
Estes Park, CO 80517
Phone (970) 586-2317

555 Prospect Ave
Estes Park, CO 80517
Phone (970) 586-2200

555 Prospect Ave
Ste A
Estes Park, CO 80517
Phone (970) 586-2229

5445 Avenue O
Fort Madison, IA 52627
Phone (319) 372-6530

1221 S Gear Ave
West Burlington, IA 52655
Phone (319) 768-3622

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

5052 N Clinton St
Fort Wayne, IN 46825
Phone (260) 408-2203

5050 N Clinton St
Fort Wayne, IN 46825
Phone (219) 484-8551

16 Bank St
Batavia, NY 14020
Phone (585) 344-4800

127 North St
Batavia, NY 14020
Phone (585) 267-7510

2 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1472

1200 Driving Park Ave
Newark, NY 14513
Phone (315) 332-2266

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

Organizations & group practices 17

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 17

Hospital & facility affiliations 8

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": "1258588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1417285032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5052 N CLINTON ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468255822",
            "telephone_number": "260-484-8551",
            "fax_number": "260-482-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 N CLINTON ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468255886",
            "telephone_number": "260-484-8551",
            "fax_number": "260-482-5060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1650 Cowles St",
            "address_purpose": "LOCATION",
            "city": "Fairbanks",
            "state": "AK",
            "postal_code": "997015998",
            "country_code": "US",
            "telephone_number": "907-458-5656",
            "fax_number": "907-458-5456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUGA",
        "first_name": "GISELLA",
        "middle_name": "P",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-19",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AK",
            "license": "161875",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "28137223A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1716095",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200972070",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GISELLS",
            "last_name": "SANTILLANA",
            "middle_name": "P",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; 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.