CLARISSA CIENFUEGOS CRNA
NPI 1053022632
Nurse Anesthetist, Certified Registered in Normal, IL
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 enrolled in Medicare PECOS, is affiliated with Carle Bromenn Medical Center, and maintains a secondary practice location in Normal.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Clarissa Cienfuegos reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Normal, IL 61761
- Reassigned Medicare billing, Illinois enrollment
- 698 clinicians in this Medicare group
Urbana, IL 61801
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Carle Health Care Incorporated
- 2,516 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, ILPhysician 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.
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.
NORMAL, IL 61761
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.
Which organizations bill Medicare for Clarissa Cienfuegos's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Clarissa Cienfuegos reassigns Medicare benefits to 2 organizations: Carle West Physician Group Inc (Normal, IL) and Carle Health Medical Group (Urbana, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Clarissa Cienfuegos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 13 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.
# Clarissa Cienfuegos, CRNA · NPI 1053022632
Nurse Anesthetist, Certified Registered physician in Normal, Illinois. Individual provider, active in the CMS NPPES registry since December 5, 2022.
## Identity
- **NPI:** 1053022632 (Entity type: Individual)
- **Enumerated:** December 5, 2022
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 209.0267333 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1302 FRANKLIN AVE, Normal, IL 61761-3551
- **Phone:** (309) 268-5867
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Carle West Physician Group Inc (NPI 1467074138, Normal, IL); Carle Health Medical Group (NPI 1154653947, Urbana, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** September 4, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1053022632) · Data from the CMS NPPES public registry.