Active NPI
Donna J Witsberger, CRNA
- Certified Registered Nurse Anesthetist
- Chesterfield, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 089662
- Practice address
- 14532 S Outer 40 Rd
Dept Anesthesiology
Chesterfield, MO 63017-5705 - Phone
- (800) 862-9980
- Fax
- (314) 362-1185
- NPI assigned
- Oct 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 089662 | MO | Primary |
Addresses
Primary practice location
14532 S Outer 40 Rd
Dept Anesthesiology
Chesterfield, MO 63017-5705
Mailing address
660 S Euclid Ave
CB 8054
Saint Louis, MO 63110-1010
Phone (800) 862-9980
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 918438607 | Medicaid | MO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Washington University |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 W 10TH St
Rolla, MO 65401-2905
Phone (573) 458-8899
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phelps County Regional Medical Center | Current | Accepting new patients | |
| Mercy St. Francis Hospital | Current | Accepting new patients | |
| Phelps County Regional Medical Center | Current | Accepting new patients | |
| Mercy St. Francis Hospital | Current | Accepting new patients | |
| Physician Surgery Center LLC | Past | Accepting new patients | |
| Washington University | Past | Accepting new patients |
Locations
100 W US Highway 60
Mountain View, MO 65548
Phone (417) 934-7000
1050 W 10th St
Rolla, MO 65401
Phone (573) 364-9000
1000 W 10th St
Rolla, MO 65401
Phone (573) 364-9000
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 and National Provider Directory roles.
-
dba Phelps Health
- General Acute Care Hospital
- Rolla, MO
- NPI 1891766051
-
- Critical Access Hospital
- Mountain View, MO
- NPI 1023053477
-
dba Mercy Clinic Family Medicine-Willow Springs
- Rural Health Clinic/Center
- Willow Springs, MO
- NPI 1972771657
-
- Medicare Defined Swing Bed Hospital Unit
- Mountain View, MO
- NPI 1043357015
-
dba Phelps Health Medical Group
- Rural Health Clinic/Center
- Rolla, MO
- NPI 1366066037
-
- Ambulatory Surgical Clinic/Center
- Rolla, MO
- NPI 1710926589
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1134169568
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Phelps Health Medical Group
- Rural Health Clinic/Center
- Salem, MO
- NPI 1194077701
Hospital
-
dba Phelps Health
- Rehabilitation Hospital Unit
- Rolla, MO
- NPI 1346287455
-
dba Phelps Health
- General Acute Care Hospital
- Rolla, MO
- NPI 1891766051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636934400000",
"number": "1932296332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 S EUCLID AVE",
"address_2": "CB 8054",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631101010",
"telephone_number": "800-862-9980",
"fax_number": "314-362-1185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14532 S OUTER 40 RD",
"address_2": "DEPT ANESTHESIOLOGY",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630175705",
"telephone_number": "800-862-9980",
"fax_number": "314-362-1185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITSBERGER",
"first_name": "DONNA",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-06",
"last_updated": "2021-11-15",
"certification_date": "2021-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "089662",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "918438607",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "Y",
"affiliationName": "Washington University",
"address_1": "14532 S Outer 40 Rd",
"address_2": "Dept Anesthesiology",
"city": "Chesterfield",
"state": "MO",
"country_code": "US",
"postal_code": "630175705",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chesterfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; 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.