Andre Michael Chepetan

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

64039 Issued in NM

Practice address

6709 Academy Rd NE Ste a
Albuquerque, NM 87109-3363

Phone

(505) 308-3145

Fax

(505) 308-3147

NPI assigned

Nov 9, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, NM, OR, NH, AZ, AR, OH, MO, GA, WV10 enrollments

Enrollment records 10

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Main Street Anesthesia of New Mexico, LLCGroup PAC ID 3476807538, 228 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Presbyterian Hospital Hospital, Albuquerque, NM, CCN 320021

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.

• Main Street Anesthesia of New Mexico, LLC

  • Anesthesiology Physician
  • Albuquerque, NM
  • NPI 1275010985
  Medicare reassignment Care Compare group NPD
• Banner - University Hospital Based Physicians LLC

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1750751566
  Medicare reassignment NPD
• Capital Anesthesia Solutions of Missouri, LLC

  • Anesthesiology Physician
  • Rombauer, MO
  • NPI 1770185472
  Medicare reassignment NPD
• Hospitalist Medicine Physicians of Arizona - Nogales

  • Certified Registered Nurse Anesthetist
  • Tucson, AZ
  • NPI 1487251799

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Hospitalist Medicine Physicians of Georgia - TCS, PC

  • Anesthesiology Physician
  • Columbus, GA
  • NPI 1033926191
  Medicare reassignment NPD
• Hospitalist Medicine Physicians of New York - Patchogue PC

  • Anesthesiology Physician
  • Patchogue, NY
  • NPI 1366920993

  NH

  Medicare reassignment NPD
• Hospitalist Medicine Physicians of Texas - Dallas PLLC

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1164174124
  Medicare reassignment NPD
• Hospitalist Medicine Physicians of Washington - TCS

  • Anesthesiology Physician
  • Portland, OR
  • NPI 1649816380

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Hospitalist Medicine Physicians of West Virginia - South Charleston

  • Anesthesiology Physician
  • Princeton, WV
  • NPI 1063228120
  Medicare reassignment NPD
• Sandusky Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Circleville, OH
  • NPI 1770907859

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Sound Physicians Anesthesiology of Texas PLLC

  • Anesthesiology Physician
  • Fort Worth, TX
  • NPI 1295356277
  Medicare reassignment NPD
• Banner - University Hospital Based Physicians LLC

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
  • NPI 1538879481
  NPD

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

• Presbyterian Healthcare Services

  dba Presbyterian Hospital

  • General Acute Care Hospital
  • Albuquerque, NM
  • NPI 1215913470
  Care Compare affiliation
• Presbyterian Healthcare Services

  dba Presbyterian Kaseman Psych Unit

  • Psychiatric Hospital Unit
  • Albuquerque, NM
  • NPI 1598740482
  Care Compare affiliation

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724544000000",
    "number": "1780286344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 845347",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752845347",
            "telephone_number": "469-291-3369",
            "fax_number": "214-645-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6709 ACADEMY RD NE STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093363",
            "telephone_number": "505-308-3145",
            "fax_number": "505-308-3147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5323 Harry Hines Blvd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "753907201",
            "country_code": "US",
            "telephone_number": "214-648-6400",
            "fax_number": "214-648-5461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEPETAN",
        "first_name": "ANDRE",
        "middle_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-09",
        "last_updated": "2024-08-25",
        "certification_date": "2024-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "1029382",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NM",
            "license": "64039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kai-Yuan Cheng, DOM
• Ron Ron Cheng, M.D.
• Kaitlyn Chenney, DO
• Patrick Christopher Chenoweth, DC
• Zachary Chenoweth
• Naga Suresh Cheppalli, MD
• Sharmila R.CH Cheppalli, M.D.
• Biju Cherian, MD
• Julie M Cherian, PHARMD
• Shirley Garcia Cherino, RN

• Certified Registered Nurse Anesthetist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Certified Registered Nurse Anesthetist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2024; 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.