Individual provider Active NPI

Susan K Mozaffari, CRNA

  • Certified Registered Nurse Anesthetist
  • Chesterfield, MO
National Provider Identifier
1669443305
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
102294 Issued in MO
Practice address
14825 N Outer 40 Rd Ste 100
Chesterfield, MO 63017-2152
Phone
(636) 898-4695
NPI assigned
Jan 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 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 209000843 IL
Certified Registered Nurse Anesthetist 367500000X 102294 MO Primary

Addresses

Primary practice location

14825 N Outer 40 Rd Ste 100
Chesterfield, MO 63017-2152

Mailing address

14825 N Outer 40 Rd Ste 100
Chesterfield, MO 63017-2152

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20031124000193 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 1052215852 Reassigns benefits to 4 organizations
I20040326001288 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 1052215852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Anesthesia LLCGroup PAC ID 0345258661, 14 clinicians
G and G Anesthesia LLCGroup PAC ID 4981912607, 92 clinicians

Practice addresses (Care Compare)

14825 N Outer 40 Rd
Suite 100
Chesterfield, MO 63017-2152
Phone (636) 898-4707

510 Lincoln Dr
Herrin, IL 62948-6334
Phone (618) 997-6800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209000843ILMDCertified Registered Nurse Anesthetist
102294MOMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Blessing Hospital CurrentSince Mar 1, 2026 Accepting new patients
CPR Anesthesia, Inc Nurse Anesthetist, Certified Registered CurrentSince Apr 22, 2023 Accepting new patients
Eye Anesthesia LLC CurrentSince Jul 15, 2022 Accepting new patients
Premier Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2025 Accepting new patients
Blessing Hospital CurrentSince Mar 1, 2026 Accepting new patients
Comprehensive Anesthesia Care PC Nurse Anesthetist, Certified Registered CurrentSince May 24, 2023 Accepting new patients
Orthopedic Ambulatory Surgery Center of Chesterfield, LLC PastSince Jun 11, 2023 Accepting new patients
Marion Hospital Corporation Nurse Anesthetist, Certified Registered Past Accepting new patients
Poplar Bluff Regional Medical Center LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Premier Anesthesia of Danville Past Accepting new patients
Lakeland Radiologists LTD Past Accepting new patients

Locations

1005 Broadway St
Quincy, IL 62301

14825 North Outer 40 Rd
Ste 100
Chesterfield, MO 63017
Phone (636) 898-4695

400 Parkland Dr
Farmington, MO 63640
Phone (303) 755-3201

12990 Manchester Rd
Ste 103
Saint Louis, MO 63131
Phone (314) 686-4200

12990 Manchester Rd
Ste 105
Saint Louis, MO 63131
Phone (314) 686-4200

760 Office Pkwy
Ste 100
Saint Louis, MO 63141
Phone (314) 200-1462

232 S Woods Mill Rd
Town and Country, MO 63017
Phone (314) 205-6030

1130 Town and Country Commons Dr
Twn and Cntry, MO 63017
Phone (636) 256-0320

Interoperability endpoints

  • FHIR API: https://fhir.blessinghospital.com/R4/open-Prod

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1669443305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14825 N OUTER 40 RD STE 100",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630172152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14825 N OUTER 40 RD STE 100",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630172152",
            "telephone_number": "636-898-4695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOZAFFARI",
        "first_name": "SUSAN",
        "middle_name": "K",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-31",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209000843",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "102294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.