Active NPI
Sabrina Provvidenza Vitale-D'Angelo, CRNA
- Certified Registered Nurse Anesthetist
- Manchester, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- D175517
- Practice address
- 709 W Main St
Manchester, IA 52057-1526 - Phone
- (563) 927-7457
- Fax
- (563) 927-7457
- NPI assigned
- Mar 18, 2021
- 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 | D175517 | IA | Primary |
Addresses
Primary practice location
709 W Main St
Manchester, IA 52057-1526
Mailing address
PO Box 359
Manchester, IA 52057-0359
Phone (563) 927-7457
Other practice location 1
200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-2633
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D175517 | Other | IA | STATE LICENSE |
| MV8194843 | Other | IA | DEA |
| 5208192 | Other | IA | CSA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- University of Iowa, RJ & L Carver College of Medicine, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Delaware County Memorial Hospital
Practice addresses (Care Compare)
1015 S Hackett Rd
Waterloo, IA 50701-3500
Phone (319) 234-5990
1600 1St St E
Independence, IA 50644-3155
Phone (319) 332-0999
200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-1616
709 W Main St
Regional Medical Center
Manchester, IA 52057-1526
Phone (563) 927-3232
Hospital & facility affiliations
- Buchanan County Health Center
- Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sumner Community Club | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| St Luke'S Jones Regional Medical Center | Current | Accepting new patients | |
| Cedar Valley Medical Specialists PC | Current | Accepting new patients | |
| Cedar Valley Medical Specialists PC | Current | Accepting new patients | |
| Cedar Valley Medical Specialists PC | Current | Accepting new patients | |
| Iowa Physicians Clinic Medical Foundation | Current | Accepting new patients | |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Guttenberg Municipal Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Delaware County Memorial Hospital | Current | Accepting new patients | |
| People'S Memorial Hospital | Current | Accepting new patients | |
| Virginia Gay Hospital, Inc | Current | Accepting new patients | |
| St Luke'S Jones Regional Medical Center | Current | Accepting new patients | |
| Sumner Community Club | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Delaware County Memorial Hospital | Current | Accepting new patients | |
| Guttenberg Municipal Hospital | Current | Accepting new patients | |
| Delaware County Memorial Hospital | Current | Accepting new patients | |
| People'S Memorial Hospital | Current | Accepting new patients | |
| Delaware County Memorial Hospital | Current | Accepting new patients | |
| State University of Iowa | Current | Accepting new patients | |
| Guttenberg Municipal Hospital | Current | Accepting new patients | |
| Virginia Gay Hospital, Inc. | Past | Accepting new patients | |
| Palmer Lutheran Health Center, Inc. | Past | Accepting new patients | |
| Delaware County Memorial Hospital | Past | Accepting new patients | |
| State University of Iowa | Past | Accepting new patients | |
| People'S Memorial Hospital | Past | Accepting new patients | |
| Delaware County Memorial Hospital | Past | Accepting new patients | |
| St. Luke'S Jones Regional Medical Center | Past | Accepting new patients | |
| Cedar Valley Medical Specialists PC | Past | Accepting new patients |
Locations
1795 Highway 64 E
Anamosa, IA 52205
Phone (319) 462-6161
4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150
4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950
200 Main St
Guttenberg, IA 52052
Phone (563) 252-1121
1600 1st St E
Independence, IA 50644
Phone (319) 332-0999
1100 1st St E
Independence, IA 50644
Phone (319) 334-2541
200 Hawkins Dr
Iowa City, IA 52242
Phone (319) 356-1616
200 Hawkins Dr
#H
Iowa City, IA 52242
Phone (319) 356-1616
709 W Main St
Manchester, IA 52057
Phone (563) 927-3232
709 W Main St
Ste 1
Manchester, IA 52057
909 W 1st St
Sumner, IA 50674
Phone (563) 578-3275
502 N 9th Ave
Vinton, IA 52349
Phone (319) 472-6200
1731 W Ridgeway Ave
Ste 300
Waterloo, IA 50701
Phone (319) 833-5800
1015 S Hackett Rd
Ste B
Waterloo, IA 50701
Phone (319) 406-5990
1015 S Hackett Rd
Waterloo, IA 50701
Phone (319) 234-5990
1753 W Ridgeway Ave
Ste 107
Waterloo, IA 50701
Phone (319) 833-5907
112 Jefferson St
West Union, IA 52175
Phone (563) 422-3811
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/8fdd186f-a014-47f3-8c9e-d61f95a9a6ea/
- svitale912355@direct.unitypoint.org
Organizations & group practices 29
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.
-
- Emergency Medicine Physician
- Independence, IA
- NPI 1336281245
-
- Family Medicine Physician
- Iowa City, IA
- NPI 1477554814
-
- Gastroenterology Physician
- Waterloo, IA
- NPI 1427996404
-
- Critical Access Hospital
- Manchester, IA
- NPI 1750354676
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Manchester, IA
- NPI 1982667929
-
- Surgery Physician
- Guttenberg, IA
- NPI 1386679793
Nurse Anesthetist, Certified Registered
-
- General Practice Physician
- West Des Moines, IA
- NPI 1366425274
-
- Critical Access Hospital
- Anamosa, IA
- NPI 1164514741
-
- Critical Access Hospital
- Sumner, IA
- NPI 1780684548
Nurse Anesthetist, Certified Registered
-
- Family Medicine Physician
- Sumner, IA
- NPI 1801818661
Nurse Anesthetist, Certified Registered
-
- Critical Access Hospital
- Vinton, IA
- NPI 1164486726
-
- Emergency Medicine Physician
- Anamosa, IA
- NPI 1942397328
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Manchester, IA
- NPI 1750354676
-
- Critical Access Hospital
- Independence, IA
- NPI 1265595144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732579200000",
"number": "1962088104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 359",
"city": "MANCHESTER",
"state": "IA",
"postal_code": "520570359",
"telephone_number": "563-927-7457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "709 W MAIN ST",
"city": "MANCHESTER",
"state": "IA",
"postal_code": "520571526",
"telephone_number": "563-927-7457",
"fax_number": "563-927-7457"
}
],
"practiceLocations": [
{
"address_1": "200 Hawkins Dr",
"address_purpose": "LOCATION",
"city": "Iowa City",
"state": "IA",
"postal_code": "522421009",
"country_code": "US",
"telephone_number": "319-356-2633",
"fax_number": "319-356-2940",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VITALE-D'ANGELO",
"first_name": "SABRINA",
"middle_name": "PROVVIDENZA",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-18",
"last_updated": "2024-11-26",
"certification_date": "2024-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IA",
"license": "D175517",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "D175517",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEA",
"identifier": "MV8194843",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSA",
"identifier": "5208192",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manchester, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.