ZACHARY CHARLES SODERBLOM CRNA
NPI 1104551530
Nurse Anesthetist, Certified Registered in Greenville, NC

Q: What is Zachary Soderblom's NPI number?

The NPI number for Zachary Soderblom is 1104551530. It was assigned to this individual provider in the NPPES registry on July 20, 2022.

Q: What is Zachary Soderblom'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 Zachary Soderblom was last updated on May 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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 20, 2022Accepts Medicare Assignment

2430 EMERALD PL STE 201, GREENVILLE, NC 27834(252) 752-2140 Get Directions Write a Review

NPPES record last updated: May 25, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 25, 2023, Jul 20, 2022 (2 updates tracked since 2022).

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About Zachary Charles Soderblom Crna NPPES

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

ZACHARY CHARLES SODERBLOM CRNA (NPI 1104551530) is an individual nurse anesthetist, certified registered in Greenville, North Carolina, licensed in North Carolina (7171) and active in the NPI registry since July 2022. He is affiliated with Ecu Health Medical Center and is a graduate of Other (2023).

NPPES Registry Identity

NPI1104551530

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameZACHARY CHARLES SODERBLOMCredential: CRNA

Location Address2430 EMERALD PL STE 201Greenville, NC 27834-5743

Mailing Address2430 Emerald Pl Ste 201Greenville, NC 27834-5743 · (252) 752-2140

Phone(252) 752-2140

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJuly 20, 2022

Last NPPES UpdateMay 25, 20232 updates tracked since enumeration

NPPES CertifiedMay 25, 2023

✔ NPI 1104551530 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 NC · 7171

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 NurseTaxonomy 163W00000X · License 301736 (NC)

2430 EMERALD PL STE 201, Greenville, NC 27834

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Plan of North Carolina, Inc.Insurance ›

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

Zachary Charles Soderblom 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 ID9739546672

PECOS Enrollment IDI20230607002763

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.

Insertion of artery tube for blood sampling or infusion through skin 36620

This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Ecu Health Medical Center

Acute Care Hospitals · Greenville, NC

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340040

Location2100 Stantonsburg RdGreenville, NC 27834 · Pitt County

Emergency services Birthing friendly

Atrium Health Union

Acute Care Hospitals · Monroe, NC

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340130

Location600 Hospital DrMonroe, NC 28112 · Union County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27834 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.

JASON A MCGAVIN MD

Anesthesiology