DR. CINDERELLA FAMUTIMI CRNA
NPI 1154289007
Nurse Anesthetist, Certified Registered in Lake Havasu City, AZ
About Dr. Cinderella Famutimi Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CINDERELLA FAMUTIMI CRNA (NPI 1154289007) is an individual nurse anesthetist, certified registered in Lake Havasu City, Arizona, licensed in Arizona (157170) and active in the NPI registry since January 2026. She is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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
Dr. Cinderella Famutimi 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 86403 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.
LAKE HAVASU CITY, AZ 86403
LAKE HAVASU CITY, AZ 86403
LAKE HAVASU CITY, AZ 86403
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 Cinderella Famutimi's NPI number?
The NPI number for Cinderella Famutimi is 1154289007. It was assigned to this individual provider in the NPPES registry on January 12, 2026.
Where is Cinderella Famutimi located?
Cinderella Famutimi practices at 101 Civic Center Ln, Lake Havasu City, AZ 86403. The listed phone number is (928) 855-8185.
What is Cinderella Famutimi's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Cinderella Famutimi enrolled in Medicare?
Yes. Cinderella Famutimi 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.
When was this NPI record last updated?
The NPPES record for Cinderella Famutimi was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Dr. Cinderella Famutimi, CRNA · NPI 1154289007
Nurse Anesthetist, Certified Registered physician in Lake Havasu City, Arizona. Individual provider, active in the CMS NPPES registry since January 12, 2026.
## Identity
- **NPI:** 1154289007 (Entity type: Individual)
- **Enumerated:** January 12, 2026
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 157170 (Arizona)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 101 CIVIC CENTER LN, Lake Havasu City, AZ 86403-5607
- **Phone:** (928) 855-8185
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** January 12, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1154289007) · Data from the CMS NPPES public registry.