WANDA C UNTCH CRNA
NPI 1053319178
Nurse Anesthetist, Certified Registered in Lumberton, NC

Q: What is Wanda Untch's NPI number?

The NPI number for Wanda Untch is 1053319178. It was assigned to this individual provider in the NPPES registry on July 12, 2005.

Q: What is Wanda Untch's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Wanda Untch was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since July 12, 2005Accepts Medicare Assignment

300 W 27TH ST, LUMBERTON, NC 28358(910) 671-5000 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 22, 2026, Jun 4, 2026, Apr 17, 2026 and 2 more (5 updates tracked since 2025).

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About Wanda C Untch Crna NPPES

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

WANDA C UNTCH CRNA (NPI 1053319178) is an individual nurse anesthetist, certified registered in Lumberton, North Carolina, licensed in North Carolina (475) and active in the NPI registry since July 2005. She is affiliated with Cape Fear Valley Medical Center, maintains 2 additional practice locations, and is a graduate of Wayne State University School Of Medicine (1997).

NPPES Registry Identity

NPI1053319178

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameWANDA C UNTCHCredential: CRNA

Location Address300 W 27TH STLumberton, NC 28358-3075

Mailing Address300 W 27th St, Attn: William J GutekunstLumberton, NC 28358-3075 · (910) 671-5000

Phone(910) 671-5000

Sole ProprietorYes

Medical School CMSWayne State University School Of MedicineGraduated 1997

Enumeration DateJuly 12, 2005

Last NPPES UpdateJuly 22, 20265 updates tracked since enumeration

NPPES CertifiedJuly 22, 2026

✔ NPI 1053319178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in NC · 475

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.

300 W 27TH ST, Lumberton, NC 28358

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Secondary Practice Locations 2

Location 1210 Medical Pavilion DrRaeford, NC 28376-9111 · Phone (910) 904-8000

Location 21638 Owen DrFayetteville, NC 28304-3424 · Phone (910) 615-5132 · Fax (910) 321-6236

Other Identifiers 1

Medicaid8051675NC

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

Wanda C Untch 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 ID6406932755

PECOS Enrollment IDI20080326000782

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for procedure on heart and large blood vessels 00560

Anesthesia for heart and large blood vessel procedures involves using medications to block sensation, ensuring you don't feel pain during surgery. It can be general (you're asleep) or regional (part of your body is numbed). It helps ensure comfort and safety throughout the operation.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Cape Fear Valley Medical Center

Acute Care Hospitals · Fayetteville, NC

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340028

Location1638 Owen Drive P O Box 2000Fayetteville, NC 28302 · Cumberland County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28358 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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.

SOUTHEASTERN REGIONAL MEDICAL CENTER

Anesthesiology (Pain Medicine)