Chantal Marie Umutoni, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

CRNA1224 Issued in AZ

Practice address

4838 E. Baseline Road
Suite 108
Mesa, AZ 85206-4672

Phone

(480) 981-2400

Fax

(480) 981-2407

NPI assigned

Jul 19, 2016

Last updated

Oct 10, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ, IA2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medstream Anesthesia PLLCGroup PAC ID 7416198049, 571 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ottumwa Regional Health Center Hospital, Ottumwa, IA, CCN 160089

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

• Medstream Anesthesia PLLC

  • Anesthesiology Physician
  • Richardson, TX
  • NPI 1649616160

  IA, Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Gateway Anesthesia and Pain Associates PLLC

  • Pain Medicine Physician
  • Mesa, AZ
  • NPI 1710026125

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Valley Anesthesiology Consultants, Inc.

  • Anesthesiology Physician
  • Phoenix, AZ
  • NPI 1285660704
  Medicare reassignment NPD
• CHI Health Clinic Physician Enterprise-Anesthesia LLC

  • Anesthesiology Physician
  • Council Bluffs, IA
  • NPI 1639687114

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Mason City Ambulatory Surgery Center, LLC

  dba Mason City Surgery Center

  • Anesthesiology Physician
  • Mason City, IA
  • NPI 1689251720

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Mercy Clinton Anesthesia Group LLC

  • Anesthesiology Physician
  • Clinton, IA
  • NPI 1184962862

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• MHC Anesthesia Services

  • Anesthesiology Physician
  • Sioux City, IA
  • NPI 1639244270
  Medicare reassignment NPD
• Mason City Ambulatory Surgery Center, LLC

  dba Mason City Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Mason City, IA
  • NPI 1902841398
  NPD (past)

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

• RCHP Ottumwa LLC

  dba Ottumwa Regional Health Center

  • General Acute Care Hospital
  • Ottumwa, IA
  • NPI 1013233741
  Care Compare affiliation

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

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1851744528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4838 E. BASELINE ROAD",
            "address_2": "SUITE 108",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064672",
            "telephone_number": "480-981-2400",
            "fax_number": "480-981-2407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4838 E. BASELINE ROAD",
            "address_2": "SUITE 108",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064672",
            "telephone_number": "480-981-2400",
            "fax_number": "480-981-2407"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Mercy Dr",
            "address_purpose": "LOCATION",
            "city": "Council Bluffs",
            "state": "IA",
            "postal_code": "515033128",
            "country_code": "US",
            "telephone_number": "402-717-4866",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6901 N 72nd St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681221709",
            "country_code": "US",
            "telephone_number": "402-717-4866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UMUTONI",
        "first_name": "CHANTAL",
        "middle_name": "MARIE",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-19",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "CRNA1224",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NE",
            "license": "101721",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IA",
            "license": "D170283",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Melody Underwood
• Stacy Underwood, NP
• Jana Katlyn Unger
• Union Pain Group LLC

• Certified Registered Nurse Anesthetist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Certified Registered Nurse Anesthetist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.