Individual provider Active NPI

Sabrina Provvidenza Vitale-D'Angelo, CRNA

  • Certified Registered Nurse Anesthetist
  • Manchester, IA
National Provider Identifier
1962088104
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
D175517 Issued in IA
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

Updated by the provider on Nov 26, 2024

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 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

IdentifierTypeStateIssuer
D175517OtherIASTATE LICENSE
MV8194843OtherIADEA
5208192OtherIACSA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230829002347 IA Practitioner - Certified Registered Nurse Anesthetist (Crna) 9335502061 Reassigns benefits to 12 organizations

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
New Gi PCGroup PAC ID 2567930985, 22 clinicians
Peoples Memorial HospitalGroup PAC ID 9931010790, 47 clinicians
State University of IowaGroup PAC ID 7618884230, 1,886 clinicians
Delaware County Memorial HospitalGroup PAC ID 2062316375, shared by 11 NPIs, 80 clinicians

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 Hospital, Independence, IA, CCN 161335
  • Regional Medical Center Hospital, Manchester, IA, CCN 161343

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sumner Community Club Nurse Anesthetist, Certified Registered CurrentSince Sep 28, 2023 Accepting new patients
St Luke'S Jones Regional Medical Center CurrentSince Nov 22, 2023 Accepting new patients
Cedar Valley Medical Specialists PC Current Accepting new patients
Cedar Valley Medical Specialists PC CurrentSince Jan 2, 2024 Accepting new patients
Cedar Valley Medical Specialists PC CurrentSince Jan 2, 2024 Accepting new patients
Iowa Physicians Clinic Medical Foundation CurrentSince Aug 24, 2025 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 CurrentSince Jan 1, 2025 Accepting new patients
People'S Memorial Hospital CurrentSince Oct 1, 2023 Accepting new patients
Virginia Gay Hospital, Inc CurrentSince Jan 1, 2026 Accepting new patients
St Luke'S Jones Regional Medical Center CurrentSince Nov 22, 2023 Accepting new patients
Sumner Community Club Nurse Anesthetist, Certified Registered CurrentSince Sep 28, 2023 Accepting new patients
Delaware County Memorial Hospital Current Accepting new patients
Guttenberg Municipal Hospital CurrentSince Jan 31, 2024 Accepting new patients
Delaware County Memorial Hospital CurrentSince Sep 1, 2023 Accepting new patients
People'S Memorial Hospital CurrentSince Oct 1, 2023 Accepting new patients
Delaware County Memorial Hospital CurrentSince Sep 1, 2023 Accepting new patients
State University of Iowa CurrentSince Oct 16, 2024 Accepting new patients
Guttenberg Municipal Hospital CurrentSince Jan 31, 2024 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

  • FHIR API: https://fhir-myrecord.cerner.com/r4/8fdd186f-a014-47f3-8c9e-d61f95a9a6ea/
  • Direct secure messaging: 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.

View all 29

Hospital & facility affiliations 2

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": "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.

Verify at the official NPI Registry.