CLARISSA CIENFUEGOS CRNA
NPI 1053022632
Nurse Anesthetist, Certified Registered in Normal, IL

Active since December 05, 2022Accepts Medicare Assignment
1302 FRANKLIN AVE, NORMAL, IL 61761(309) 268-5867 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 4, 2025, Mar 5, 2024, Aug 21, 2023 and 2 more (5 updates tracked since 2022).

About Clarissa Cienfuegos Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLARISSA CIENFUEGOS CRNA (NPI 1053022632) is an individual nurse anesthetist, certified registered in Normal, Illinois, licensed in Illinois (209.0267333) and active in the NPI registry since December 2022. She is affiliated with Carle Bromenn Medical Center, maintains a secondary practice location in Normal, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1053022632
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameCLARISSA CIENFUEGOSCredential: CRNA
Location Address1302 FRANKLIN AVENormal, IL 61761-3551
Mailing Address611 W Park St, FapcUrbana, IL 61801-2500
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateDecember 5, 2022
Last NPPES UpdateSeptember 4, 20255 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2025
NPI 1053022632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in IL · 209.0267333
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 041.441783 (IL)
1302 FRANKLIN AVE, Normal, IL 61761

Other Names 1

Former Name (1)Clarissa Latulip

Secondary Practice Location 1

Location 11304 Franklin AveNormal, IL 61761-3558 · Phone (309) 454-1400

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Clarissa Cienfuegos Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739537234
PECOS Enrollment IDI20231121003903

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Carle Bromenn Medical Center

Acute Care Hospitals · Normal, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140127
Location1304 Franklin AvenueNormal, IL 61761 · Mc Lean County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61761 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
1302 FRANKLIN AVE
NORMAL, IL 61761
Internal Medicine (Cardiovascular Disease)
1302 FRANKLIN AVE, SUITE 4500
NORMAL, IL 61761
Obstetrics & Gynecology
1302 FRANKLIN AVE, SUITE 2200
NORMAL, IL 61761
Internal Medicine (Cardiovascular Disease)
1302 FRANKLIN AVE, #4500
NORMAL, IL 61761
Nurse Practitioner (Family)
1302 FRANKLIN AVE, SUITE 3400
NORMAL, IL 61761
Behavior Technician
1302 FRANKLIN AVE
NORMAL, IL 61761
Behavior Technician
1302 FRANKLIN AVE
NORMAL, IL 61761
Internal Medicine (Pulmonary Disease)
1302 FRANKLIN AVE, #2200
NORMAL, IL 61761

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clarissa Cienfuegos's NPI number?

The NPI number for Clarissa Cienfuegos is 1053022632. It was assigned to this individual provider in the NPPES registry on December 5, 2022. The provider is also known as Clarissa Latulip.

Where is Clarissa Cienfuegos located?

Clarissa Cienfuegos practices at 1302 Franklin Ave, Normal, IL 61761. The listed phone number is (309) 268-5867.

What is Clarissa Cienfuegos's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Clarissa Cienfuegos enrolled in Medicare?

Yes. Clarissa Cienfuegos is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Clarissa Cienfuegos affiliated with any hospitals?

According to CMS data, Clarissa Cienfuegos is affiliated with Carle Bromenn Medical Center.

When was this NPI record last updated?

The NPPES record for Clarissa Cienfuegos was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.