RUSSELL EDWARD PROFFITT CRNA
NPI 1124440128
Nurse Anesthetist, Certified Registered in Chattanooga, TN

Active since January 09, 2014Accepts Medicare Assignment
1651 GUNBARREL RD STE 102, CHATTANOOGA, TN 37421(423) 308-0390(423) 308-0393 Get Directions Write a Review

NPPES record last updated: December 13, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Russell Edward Proffitt Crna NPPES

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

RUSSELL EDWARD PROFFITT CRNA (NPI 1124440128) is an individual nurse anesthetist, certified registered in Chattanooga, Tennessee, licensed in Tennessee (18164) and active in the NPI registry since January 2014. He is a graduate of Other (2014).

NPPES Registry Identity

NPI1124440128
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameRUSSELL EDWARD PROFFITTCredential: CRNA
Location Address1651 GUNBARREL RD STE 102Chattanooga, TN 37421-3289
Mailing Address4976 Alpha LnHixson, TN 37343-5470 · (423) 497-5355 · Fax (423) 308-0281
Fax(423) 308-0393
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateJanuary 9, 2014
Last NPPES UpdateDecember 13, 2024
NPPES CertifiedDecember 13, 2024
✔ NPI 1124440128 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 TN · 18164
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.
1651 GUNBARREL RD STE 102, Chattanooga, TN 37421

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

Russell Edward Proffitt 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 ID6507099710
PECOS Enrollment IDI20140423001671

Medicare Billing Reassignments

4

Medicare enrollment records show Russell Proffitt reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
2341 MCCALLIE AVE, STE 303
Chattanooga, TN 37404
  • Reassigned Medicare billing, Tennessee enrollment
  • 41 clinicians in this Medicare group
Internal Medicine
4976 ALPHA LN
Hixson, TN 37343
  • Reassigned Medicare billing, Tennessee enrollment
  • 158 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
1247 RIVERFRONT PKWY STE 100
Chattanooga, TN 37402
  • Reassigned Medicare billing, Tennessee enrollment
  • 12 clinicians in this Medicare group
Internal Medicine
405 SCENIC DR, SUITE A
Rogersville, TN 37857
  • Reassigned Medicare billing, Tennessee enrollment
  • 861 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

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 nerve block and injection procedure, prone position 01992
Anesthesia for nerve block and injection is a procedure to numb specific areas, reducing pain. You'll be positioned face-down (prone) for optimal access to the treatment area. The anesthetic is injected near the nerve, blocking pain signals to the brain.
26 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37421 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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 5

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

Nurse Anesthetist, Certified Registered
1651 GUNBARREL RD STE 102
CHATTANOOGA, TN 37421
Nurse Anesthetist, Certified Registered
1651 GUNBARREL RD STE 102
CHATTANOOGA, TN 37421
Nurse Anesthetist, Certified Registered
1651 GUNBARREL RD STE 102
CHATTANOOGA, TN 37421
Nurse Anesthetist, Certified Registered
1651 GUNBARREL RD STE 102
CHATTANOOGA, TN 37421
Nurse Anesthetist, Certified Registered
1651 GUNBARREL RD STE 102
CHATTANOOGA, TN 37421

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 Russell Proffitt's NPI number?

The NPI number for Russell Proffitt is 1124440128. It was assigned to this individual provider in the NPPES registry on January 9, 2014.

Where is Russell Proffitt located?

Russell Proffitt practices at 1651 Gunbarrel Rd Ste 102, Chattanooga, TN 37421. The listed phone number is (423) 308-0390.

What is Russell Proffitt's specialty?

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

Is Russell Proffitt enrolled in Medicare?

Yes. Russell Proffitt 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 Russell Proffitt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Russell Proffitt reassigns Medicare benefits to 4 organizations: Amsurg Chattanooga Anesthesia LLC (Chattanooga, TN), Galen Medical Group, PC (Hixson, TN), Southeastern Surgical, LLC (Chattanooga, TN) and Wellmont Medical Associates, Inc. (Rogersville, TN). 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 Russell Proffitt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Russell Proffitt accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Russell Proffitt 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.

When was this NPI record last updated?

The NPPES record for Russell Proffitt was last updated on December 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.