Individual provider Active NPI

Chase Buehler

  • Certified Registered Nurse Anesthetist
  • Elkhart, IN
National Provider Identifier
1770065104
Registry record updated Sep 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
714334 Issued in IL
Practice address
600 East Blvd
Elkhart, IN 46514
Phone
(630) 338-3793
NPI assigned
Sep 1, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2018

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 714334 IL Primary

Addresses

Primary practice location

600 East Blvd
Elkhart, IN 46514

Mailing address

1228 Ridgeway Ave
Aurora, IL 60506
Phone (630) 338-3793

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180924001754 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 4183975535 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iceland Anesthesia Management LLCGroup PAC ID 7618372996, 75 clinicians
United Surgeons LLCGroup PAC ID 0941260061, 22 clinicians

Practice addresses (Care Compare)

441 N Wabash Ave
Marion, IN 46952-2612
Phone (765) 660-6000

4455 Edison Lakes Pkwy
Mishawaka, IN 46545-1414
Phone (574) 231-6800

801 S Main St
Clinton, IN 47842-2261
Phone (765) 832-1234

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
714334ILMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
United Surgeons, LLC Current Accepting new patients
Iceland Anesthesia Management, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 15, 2021 Accepting new patients
Jebs Anesthesia Consultants, LLC CurrentSince Feb 1, 2022 Accepting new patients

Locations

801 S Main St
Clinton, IN 47842
Phone (765) 832-1212

900 I St
Laporte, IN 46350
Phone (219) 324-1670

441 N Wabash Ave
Marion, IN 46952
Phone (219) 482-4577

3212 Hickory Rd
Ste A
Mishawaka, IN 46545
Phone (574) 251-0498

4455 Edison Lakes Pkwy
Mishawaka, IN 46545
Phone (574) 231-6134

3930 Edison Lakes Pkwy
Ste 100
Mishawaka, IN 46545

211 N Eddy St
South Bend, IN 46617
Phone (574) 237-9331

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 and National Provider Directory roles.

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": "1535760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535760000000",
    "number": "1770065104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1228 RIDGEWAY AVE",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "60506",
            "telephone_number": "630-338-3793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 EAST BLVD",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "46514",
            "telephone_number": "630-338-3793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUEHLER",
        "first_name": "CHASE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-01",
        "last_updated": "2018-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "714334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhart, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.