Individual provider Active NPI

Rachel Jean Pittner, CRNA

  • Certified Registered Nurse Anesthetist
  • Council Bluffs, IA
National Provider Identifier
1609525781
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
D168109 Issued in IA
Practice address
201 Ridge St Ste 102
Council Bluffs, IA 51503-4643
Phone
(712) 396-4359
Fax
(712) 396-7888
NPI assigned
Mar 23, 2022
Last updated
Mar 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

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 D168109 IA Primary

Addresses

Primary practice location

201 Ridge St Ste 102
Council Bluffs, IA 51503-4643

Mailing address

3041 Newport Ave
Omaha, NE 68112-3040
Phone (605) 877-4144

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240409001463 NE Practitioner - Certified Registered Nurse Anesthetist (Crna) 3577950955 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthoanesthesia PCGroup PAC ID 2860826443, 31 clinicians

Practice addresses (Care Compare)

2808 S 143Rd PLZ
Nebraska Orthopaedic Hospital LLC
Omaha, NE 68144-5611
Phone (402) 637-0600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
101690NEMDRegistered Nurse
D168109IAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthoanesthesia, PC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2025 Accepting new patients
Memorial Community Hospital Corporation CurrentSince May 1, 2024 Accepting new patients
Memorial Community Hospital Corporation CurrentSince May 1, 2024 Accepting new patients

Locations

810 N 22nd St
Blair, NE 68008
Phone (402) 426-1116

812 N 22nd St
Blair, NE 68008
Phone (402) 426-4611

2808 S 143rd Plz
Omaha, NE 68144
Phone (321) 223-0225

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1647993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1609525781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3041 NEWPORT AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681123040",
            "telephone_number": "605-877-4144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 RIDGE ST STE 102",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515034643",
            "telephone_number": "712-396-4359",
            "fax_number": "712-396-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTNER",
        "first_name": "RACHEL",
        "middle_name": "JEAN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IA",
            "license": "D168109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Council Bluffs, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.