Benjamin Shane Nuti, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

3558 Issued in CA

Practice address

914 Pine Street
Mount Shasta, CA 96067

Phone

(530) 926-6111

Fax

(530) 926-0245

NPI assigned

Jun 21, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

University of Iowa, RJ & L Carver College of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Parish Anesthesia of California a Professional Medical CorporationGroup PAC ID 0244463925, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Medical Center of Mt Shasta Hospital, Mount Shasta, CA, CCN 051319

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.

• Parish Anesthesia of California, a Professional Medical Corporation

  • Anesthesiology Physician
  • Mount Shasta, CA
  • NPI 1790106862

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Mayers Memorial Hospital District

  • Critical Access Hospital
  • Fall River Mills, CA
  • NPI 1912125667
  Medicare reassignment NPD
• Last Frontier Healthcare District

  • Critical Access Hospital
  • Alturas, CA
  • NPI 1487669032
  Medicare reassignment
• Dignity Health

  • General Acute Care Hospital
  • Redding, CA
  • NPI 1477671535
  NPD (past)
• Last Frontier Healthcare District

  • Rural Health Clinic/Center
  • Alturas, CA
  • NPI 1487764064
  NPD (past)

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

• Dignity Health

  • Critical Access Hospital
  • Mount Shasta, CA
  • NPI 1518085430
  Care Compare affiliation

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519257600000",
    "number": "1447456132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 PINE STREET",
            "city": "MOUNT SHASTA",
            "state": "CA",
            "postal_code": "96067",
            "telephone_number": "530-926-6111",
            "fax_number": "530-926-0245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 PINE STREET",
            "city": "MOUNT SHASTA",
            "state": "CA",
            "postal_code": "96067",
            "telephone_number": "530-926-6111",
            "fax_number": "530-926-0245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUTI",
        "first_name": "BENJAMIN",
        "middle_name": "SHANE",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-21",
        "last_updated": "2018-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "3558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "05502",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diana L Muncy, LMFT
• Caleb Andrew Newton, DO
• Nicholas Patrick Brown, DO
• Cori Niles
• North State Hospitalist Medical Group, Inc
• Lynette O'Donnell, M.F.T.
• Glen S O'Sullivan, M.D.
• Gabriel Ochoa, M.D.
• Michael Edward Paddack, ATC, PTA, CPT
• Gina Renee Palady, L.AC.

• Certified Registered Nurse Anesthetist in Mount Shasta, CA
• Providers in Mount Shasta, CA by specialty
• Certified Registered Nurse Anesthetist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.

Verify at the official NPI Registry.