Active NPI
Chaz Michael Lasseigne, CRNA
- Certified Registered Nurse Anesthetist
- Fort Defiance, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN2535247
- Practice address
- Corner of Route N12 and N7
Fort Defiance, AZ 86504-0649 - Phone
- (928) 729-8000
- NPI assigned
- Feb 5, 2008
- Reactivated
- Jun 1, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | CRNA000467 | NV | |
| Certified Registered Nurse Anesthetist | 367500000X | RN2535247 | MN | Primary |
Addresses
Primary practice location
Corner of Route N12 and N7
Fort Defiance, AZ 86504-0649
Mailing address
PO Box 649
Fort Defiance, AZ 86504-0649
Phone (928) 729-8000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1983322-01 | Medicaid | TX | |
| 89640U | Other | TX | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, NV, MN
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3701 12TH St N
Suite 202
Saint Cloud, MN 56303-2253
Phone (320) 258-3090
Corner of Route N12 and N7
Fdihb Inc.
Fort Defiance, AZ 86504-0649
Phone (928) 729-8082
PO Box
Suite 649
Fort Defiance, AZ 86504-0649
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3160 | MN | MD | Athletic Trainer |
| RN2535247 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Fort Defiance Indian Hospital Board, Incorporation | Current | Accepting new patients | |
| Centracare Clinic | Current | Accepting new patients | |
| Valley Anesthesiology Consultants-Beckett-PLLC | Current | Accepting new patients | |
| Centracare Clinic | Current | Accepting new patients | |
| Quentin N Burdick Comprehensive Health Care Facility | Current | Accepting new patients | |
| Healthcare Partners Medical Group Coats LTD | Current | Accepting new patients | |
| Centracare Clinic | Current | Accepting new patients |
Locations
1200 6th Ave N
Saint Cloud, MN 56303
Phone (320) 252-3342
3701 12th St N
Ste 202
Saint Cloud, MN 56303
Phone (320) 258-3090
1300 Hospital Loop
Belcourt, ND 58316
10120 S Eastern Ave
Ste 230
Henderson, NV 89052
Phone (702) 487-6880
1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253
2565 E Flamingo Rd
Las Vegas, NV 89121
Phone (702) 697-7900
4100 W 150th St
#3
Cleveland, OH 44135
Interoperability endpoints
- classeigne117812@direct.umcsn.com
- classeigne880010@direct.centracare.com
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.
-
- General Acute Care Hospital
- Fort Defiance, AZ
- NPI 1477876639
TX
-
- Multi-Specialty Clinic/Center
- St Cloud, MN
- NPI 1043212665
-
- Rural Acute Care Hospital
- Belcourt, ND
- NPI 1952346934
TX
-
- Anesthesiology Physician
- Henderson, NV
- NPI 1437326857
-
- Multi-Specialty Clinic/Center
- Big Lake, MN
- NPI 1013104348
-
- Occupational Medicine Clinic/Center
- Saint Cloud, MN
- NPI 1366192759
-
- Family Medicine Physician
- Las Vegas, NV
- NPI 1487631917
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Saint Cloud, MN
- NPI 1811150618
-
- General Acute Care Hospital
- Saint Cloud, MN
- NPI 1043269798
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Saint Cloud, MN
- NPI 1467615294
-
- General Acute Care Hospital
- Saint Cloud, MN
- NPI 1841502929
-
- Psychiatric Hospital Unit
- Saint Cloud, MN
- NPI 1932419058
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759363200000",
"number": "1972781656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 649",
"city": "FORT DEFIANCE",
"state": "AZ",
"postal_code": "865040649",
"telephone_number": "928-729-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CORNER OF ROUTE N12 AND N7",
"city": "FORT DEFIANCE",
"state": "AZ",
"postal_code": "865040649",
"telephone_number": "928-729-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LASSEIGNE",
"first_name": "CHAZ",
"middle_name": "MICHAEL",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-05",
"last_updated": "2025-10-02",
"certification_date": "2025-10-02",
"deactivation_date": "2020-02-24",
"reactivation_date": "2020-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NV",
"license": "CRNA000467",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "RN2535247",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1983322-01",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "89640U",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Defiance, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; 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.