Active NPI
Chester Joseph Witczak, CRNA
- Certified Registered Nurse Anesthetist
- Palmer, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1122
- Practice address
- 2500 S Woodworth Loop
Palmer, AK 99645-8984 - Phone
- (717) 968-7149
- Fax
- (907) 745-0200
- NPI assigned
- Jul 27, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 1122 | AK | Primary |
Addresses
Primary practice location
2500 S Woodworth Loop
Palmer, AK 99645-8984
Mailing address
610 S Bailey St
Palmer, AK 99645-6330
Phone (717) 968-7149
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | AK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK, TX
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2801 Debarr Rd
Anchorage, AK 99508-2932
Phone (907) 276-1257
Hospital & facility affiliations
- Alaska Regional Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 405 | AK | MD | Physical Therapist |
| 1122 | AK | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Denali Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Alaska Native Tribal Health Consortium | Current | Accepting new patients | |
| City of Valdez | Current | Accepting new patients | |
| Anesthesia Care Associates, PC | Current | Accepting new patients |
Locations
2801 Debarr Rd
Anchorage, AK 99508
Phone (907) 264-1222
4000 Ambassador Dr
Anchorage, AK 99508
Phone (907) 729-1900
4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729
2500 S Woodworth Loop
Palmer, AK 99645
Phone (907) 861-6000
911 Meals Ave
Valdez, AK 99686
Phone (907) 835-2249
14700 28th Ave N
Ste 20
Plymouth, MN 55447
Phone (612) 559-3779
Interoperability endpoints
- cwitczak@direct.anthc.org
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Anchorage, AK
- NPI 1508854712
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Palmer, AK
- NPI 1033160452
-
- Critical Access Hospital Clinic/Center
- Valdez, AK
- NPI 1427424282
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Anchorage, AK
- NPI 1952348047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343347200000",
"number": "1982950978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 S BAILEY ST",
"city": "PALMER",
"state": "AK",
"postal_code": "996456330",
"telephone_number": "717-968-7149",
"fax_number": "907-745-0200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 S WOODWORTH LOOP",
"city": "PALMER",
"state": "AK",
"postal_code": "996458984",
"telephone_number": "717-968-7149",
"fax_number": "907-745-0200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITCZAK",
"first_name": "CHESTER",
"middle_name": "JOSEPH",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-27",
"last_updated": "2012-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AK",
"license": "1122",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palmer, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2012; 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.