EDELROSE FORTEA BACANTO CRNA
NPI 1093368086
Nurse Anesthetist, Certified Registered in Fayetteville, NC

Active since July 19, 2019Accepts Medicare Assignment
1638 OWEN DR, FAYETTEVILLE, NC 28304(805) 509-7556 Get Directions Write a Review

NPPES record last updated: June 13, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 13, 2025, May 16, 2025, Jun 19, 2020 and 1 more (4 updates tracked since 2019).

About Edelrose Fortea Bacanto Crna NPPES

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

EDELROSE FORTEA BACANTO CRNA (NPI 1093368086) is an individual nurse anesthetist, certified registered in Fayetteville, North Carolina, licensed in North Carolina (6389) and active in the NPI registry since July 2019. She is affiliated with Cape Fear Valley Medical Center and is a graduate of Other (2020).

NPPES Registry Identity

NPI1093368086
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameEDELROSE FORTEA BACANTOCredential: CRNA
Location Address1638 OWEN DRFayetteville, NC 28304-3424
Mailing Address2629 Edmonton RdFayetteville, NC 28304-3768
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 19, 2019
Last NPPES UpdateJune 13, 20254 updates tracked since enumeration
NPPES CertifiedJune 13, 2025
✔ NPI 1093368086 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 · 6389
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.
1638 OWEN DR, Fayetteville, NC 28304

Accepted Insurance

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

Edelrose Fortea Bacanto 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 ID7315369097
PECOS Enrollment IDI20200625001974

Medicare Billing Reassignment

Medicare enrollment records show Edelrose Bacanto reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nurse Practitioner
1638 OWEN DR
Fayetteville, NC 28304
  • Reassigned Medicare billing, North Carolina enrollment
  • 906 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.

Areas of Expertise CMS Part B claims 2

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 lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
15 services13 patients
Anesthesia for procedure on small and large bowel using an endoscope 00813
Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
14 services14 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 28304 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.

Nurse Anesthetist, Certified Registered
1638 OWEN DR
FAYETTEVILLE, NC 28304
Nurse Practitioner (Family)
1638 OWEN DR
FAYETTEVILLE, NC 28304
Pharmacist
1638 OWEN DR
FAYETTEVILLE, NC 28304
Nurse Practitioner
1638 OWEN DR
FAYETTEVILLE, NC 28304
Hospitalist
1638 OWEN DR
FAYETTEVILLE, NC 28304
Student in an Organized Health Care Education/Training Program
1638 OWEN DR
FAYETTEVILLE, NC 28304
Student in an Organized Health Care Education/Training Program
1638 OWEN DR
FAYETTEVILLE, NC 28304
Pathology (Anatomic Pathology & Clinical Pathology)
1638 OWEN DR
FAYETTEVILLE, NC 28304

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 Edelrose Bacanto's NPI number?

The NPI number for Edelrose Bacanto is 1093368086. It was assigned to this individual provider in the NPPES registry on July 19, 2019.

Where is Edelrose Bacanto located?

Edelrose Bacanto practices at 1638 Owen Dr, Fayetteville, NC 28304. The listed phone number is (805) 509-7556.

What is Edelrose Bacanto's specialty?

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

Is Edelrose Bacanto enrolled in Medicare?

Yes. Edelrose Bacanto 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 organization bills Medicare for Edelrose Bacanto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edelrose Bacanto reassigns Medicare benefits to Cumberland County Hospital System Inc (Fayetteville, NC). The 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 Edelrose Bacanto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edelrose Bacanto accept?

Health plans from Cigna Healthcare list Edelrose Bacanto as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Edelrose Bacanto affiliated with any hospitals?

According to CMS data, Edelrose Bacanto is affiliated with Cape Fear Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Edelrose Bacanto was last updated on June 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.