Individual provider Active NPI

Immaculate Che Ambe, CRNA

  • Certified Registered Nurse Anesthetist
  • North Chesterfield, VA
National Provider Identifier
1841737939
Registry record updated Mar 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0024174540 Issued in VA
Practice address
10800 Midlothian Tpke
Suite 265
North Chesterfield, VA 23235-4724
Phone
(804) 594-2622
Fax
(804) 594-0915
NPI assigned
Jan 26, 2017
Last updated
Mar 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2020

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 0024174540 VA Primary

Addresses

Primary practice location

10800 Midlothian Tpke
Suite 265
North Chesterfield, VA 23235-4724

Mailing address

10800 Midlothian Tpke
Suite 265
North Chesterfield, VA 23235-4724
Phone (804) 594-2622

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170518001039 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7618244823 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mary Washington Healthcare Specialty Services, LLCGroup PAC ID 5991605826, 136 clinicians
Gastrointestinal Specialists LLCGroup PAC ID 5294797957, 79 clinicians
MCV Associated PhysiciansGroup PAC ID 4385542117, 1,779 clinicians
Centra Medical Group LLCGroup PAC ID 4789606088, 709 clinicians

Practice addresses (Care Compare)

1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453
Phone (540) 741-7614

110 N Robinson St
Suite 100
Richmond, VA 23220-4459
Phone (804) 254-5300

1250 E Marshall St
Richmond, VA 23219-5051
Phone (804) 828-9000

800 Oak St
Farmville, VA 23901-1199
Phone (434) 315-2998

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
American Anesthesiology of Virginia, PC CurrentSince Jun 2, 2021 Accepting new patients
Gastrointestinal Specialists LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 6, 2026 Accepting new patients
American Anesthesiology of Virginia PC CurrentSince Jun 2, 2021 Accepting new patients
Centra Medical Group, LLC CurrentSince Aug 27, 2021 Accepting new patients
MCV Associated Physicians CurrentSince Jul 24, 2025 Accepting new patients
Mary Washington Healthcare Specialty Services LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2025 Accepting new patients

Locations

800 Oak St
Farmville, VA 23901
Phone (434) 315-2530

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

1201 Sam Perry Blvd
Ste 101
Fredericksburg, VA 22401
Phone (540) 741-4614

19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950

1901 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 200-3101

201 Wadsworth Dr
North Chesterfield, VA 23236
Phone (804) 289-1131

200 Medical Park Blvd
Petersburg, VA 23805
Phone (804) 765-5000

110 N Robinson St
Ste 100
Richmond, VA 23220
Phone (804) 254-5300

1250 E Marshall St
Richmond, VA 23298
Phone (804) 628-6990

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

6602 W Broad St
#B
Richmond, VA 23230
Phone (804) 289-1137

7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088

101 Hospital Center Blvd
Stafford, VA 22554
Phone (540) 741-3340

Organizations & group practices 7

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 6

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": "1485388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1841737939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 MIDLOTHIAN TPKE",
            "address_2": "SUITE 265",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354724",
            "telephone_number": "804-594-2622",
            "fax_number": "804-594-0915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 MIDLOTHIAN TPKE",
            "address_2": "SUITE 265",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354724",
            "telephone_number": "804-594-2622",
            "fax_number": "804-594-0915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHE AMBE",
        "first_name": "IMMACULATE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-26",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024174540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; 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.