David Hetzelt, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

101-0026944 Issued in VT

Practice address

1315 Hospital Dr
St Johnsbury, VT 05819-9210

Phone

(802) 748-8141

NPI assigned

Aug 16, 2005

Last updated

Mar 31, 2015By the provider in NPPES

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 3

Medicare fee-for-service enrollment

Enrolled in VT, NH2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

University of South Carolina School of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Amoskeag Anesthesia PLLCGroup PAC ID 1759375983, 165 clinicians

Androscoggin Valley Hospital IncGroup PAC ID 2365350725, shared by 3 NPIs, 61 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Speare Memorial Hospital Hospital, Plymouth, NH, CCN 301311
• Androscoggin Valley Hospital Hospital, Berlin, NH, CCN 301310

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Amoskeag Anesthesia, PLLC

  • Anesthesiology Physician
  • Manchester, NH
  • NPI 1104883511

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Androscoggin Valley Hospital Inc

  dba AVH Surgical Associates

  • General Practice Physician
  • Berlin, NH
  • NPI 1679526644
  Medicare reassignment NPD
• Androscoggin Valley Hospital, Inc.

  • Critical Access Hospital
  • Berlin, NH
  • NPI 1386680593
  Medicare reassignment NPD
• Medstream Anesthesia PLLC

  • Anesthesiology Physician
  • Richardson, TX
  • NPI 1649616160

  NH, Nurse Anesthetist, Certified Registered, VT

  Medicare reassignment NPD
• Weeks Medical Center

  • Rural Health Clinic/Center
  • Whitefield, NH
  • NPI 1508819566
  Medicare reassignment NPD
• Weeks Medical Center

  • Critical Access Hospital
  • Lancaster, NH
  • NPI 1265536718
  Medicare reassignment
• Androscoggin Valley Hospital, Inc.

  • Medicare Defined Swing Bed Hospital Unit
  • Berlin, NH
  • NPI 1134266679
  NPD
• Weeks Medical Center

  • Community/Behavioral Health Agency
  • Berlin, NH
  • NPI 1366900219
  NPD
• Weeks Medical Center

  • Rural Health Clinic/Center
  • Littleton, NH
  • NPI 1578155560
  NPD
• John T Goodsell DO PC Gregory Linderer MD LTD

  dba Anesthesia Associates

  • Anesthesiology Physician
  • Henderson, NV
  • NPI 1427000413
  NPD (past)
• Littleton Hospital Association

  • Orthopaedic Surgery Physician
  • Franconia, NH
  • NPI 1134497688
  NPD (past)

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

• Androscoggin Valley Hospital Inc

  dba AVH Surgical Associates

  • General Practice Physician
  • Berlin, NH
  • NPI 1679526644

  Hospital

  Care Compare affiliation
• Androscoggin Valley Hospital, Inc.

  • Critical Access Hospital
  • Berlin, NH
  • NPI 1386680593
  Care Compare affiliation
• Speare Memorial Hospital

  • Specialist
  • Plymouth, NH
  • NPI 1023036191

  Hospital

  Care Compare affiliation
• Speare Memorial Hospital

  dba Speare Podiatry

  • Foot & Ankle Surgery Podiatrist
  • Plymouth, NH
  • NPI 1407690019

  Hospital

  Care Compare affiliation
• Speare Memorial Hospital

  • Critical Access Hospital
  • Plymouth, NH
  • NPI 1760496376
  Care Compare affiliation
• Speare Memorial Hospital

  dba Wound Care & Hyperbaric Medicine Center

  • Wound Care Registered Nurse
  • Plymouth, NH
  • NPI 1861823999

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427760000000",
    "number": "1750373726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 905",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058190905",
            "telephone_number": "802-748-8141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 HOSPITAL DR",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058199210",
            "telephone_number": "802-748-8141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HETZELT",
        "first_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2015-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VT",
            "license": "101-0026944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008871",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100506267",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3076834",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kara E Heath, APRN PMHNP
• Emily L Hebert, RN, BSN, MSN, CNM
• Jennifer Hemond, PT
• Armand Joseph Henault Jr., M.A., M.ED.
• Allison M Henderson, RPH
• Catherine Hinchey, MA PSYCHOLOGIST
• Kelsey Holland
• Todd L Holt, PT
• David Ryder Horton
• Ted VJ Houle, M.D.

• Certified Registered Nurse Anesthetist in St Johnsbury, VT
• Providers in St Johnsbury, VT by specialty
• Certified Registered Nurse Anesthetist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; 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.