KALLIE CHAPMAN BERETTA CRNA
NPI 1306465935
Nurse Anesthetist, Certified Registered in Phenix City, AL

Active since April 14, 2020PECOS Enrolled
4401 RIVERCHASE DR, PHENIX CITY, AL 36867(334) 732-3000 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 17, 2025, May 22, 2023, Mar 8, 2023 and 2 more (5 updates tracked since 2020).

About Kallie Chapman Beretta Crna NPPES

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

KALLIE CHAPMAN BERETTA CRNA (NPI 1306465935) is an individual nurse anesthetist, certified registered in Phenix City, Alabama, licensed in Alabama (1-149837) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Billings Clinic, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1306465935
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameKALLIE CHAPMAN BERETTACredential: CRNA
Location Address4401 RIVERCHASE DRPhenix City, AL 36867-7483
Mailing Address224 Jasmine Hill RdIndian Springs, AL 35124-3328 · (334) 202-5596
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateApril 14, 2020
Last NPPES UpdateJune 17, 20255 updates tracked since enumeration
NPPES CertifiedJune 17, 2025
✔ NPI 1306465935 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
Licenses✔ Licensed in AL · 1-149837✔ Licensed in NV · 8423336✔ Licensed in SC · 26463✔ Licensed in MA · RN2339414✔ Licensed in MT · APRN-195940
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.
4401 RIVERCHASE DR, Phenix City, AL 36867

Secondary Practice Locations 3

Location 1759 Chestnut StSpringfield, MA 01199-1001 · Phone (334) 202-5596
Location 255 Lake Ave NWorcester, MA 01655-0002 · Phone (508) 334-3271 · Fax (508) 856-5911
Location 3115 Cass AveWoonsocket, RI 02895-4705 · Phone (850) 985-9180 · Fax (765) 588-1485

Other Identifiers 1

Medicaid110164311AMA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kallie Chapman Beretta Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335563204
PECOS Enrollment IDI20240814001477, I20250613000975
Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

8

Medicare enrollment records show Kallie Beretta reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nurse Anesthetist, Certified Registered
100 FRIST CT
Columbus, GA 31909
  • Reassigned Medicare billing, Alabama enrollment
  • 128 clinicians in this Medicare group
Anesthesiology
80 NEWNAN STATION DR, SUITE A
Newnan, GA 30265
  • Reassigned Medicare billing, Georgia enrollment
  • 729 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
1201 7TH ST SE
Decatur, AL 35601
  • Reassigned Medicare billing, Alabama enrollment
  • 54 clinicians in this Medicare group
Anesthesiology
1250 S WASHINGTON ST
Van Wert, OH 45891
  • Reassigned Medicare billing, Rhode Island enrollment
  • 21 clinicians in this Medicare group
Anesthesiology
908 ALLEN ST
Springfield, MA 01118
  • Reassigned Medicare billing, Massachusetts enrollment
  • 144 clinicians in this Medicare group
Family Medicine
620 S HAYNES AVE
Miles City, MT 59301
  • Reassigned Medicare billing, Montana enrollment
  • 1,264 clinicians in this Medicare group
Rehabilitation
806 SCOTT ST
Gardiner, MT 59030
  • Reassigned Medicare billing, Montana enrollment
  • 96 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
300 N WILLSON AVE
Bozeman, MT 59715
  • Reassigned Medicare billing, Montana enrollment
  • 5 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.

Hospital Affiliations CMS Care Compare 2

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

Billings Clinic

Acute Care Hospitals · Billings, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270004
Location2800 10th Ave NBillings, MT 59101 · Yellowstone County
Emergency services Birthing friendly

Landmark Medical Center

Acute Care Hospitals · Woonsocket, RI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410011
Location115 Cass AvenueWoonsocket, RI 02895 · Providence County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36867 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

Orthopaedic Surgery
4401 RIVERCHASE DR
PHENIX CITY, AL 36867
Pharmacist
4401 RIVERCHASE DR
PHENIX CITY, AL 36867
Student in an Organized Health Care Education/Training Program
4401 RIVERCHASE DR
PHENIX CITY, AL 36867
Hospitalist
4401 RIVERCHASE DR
PHENIX CITY, AL 36867
Orthopaedic Surgery
4401 RIVERCHASE DR
PHENIX CITY, AL 36867
Student in an Organized Health Care Education/Training Program
4401 RIVERCHASE DR
PHENIX CITY, AL 36867
Hospitalist
4401 RIVERCHASE DR
PHENIX CITY, AL 36867
Student in an Organized Health Care Education/Training Program
4401 RIVERCHASE DR
PHENIX CITY, AL 36867

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 Kallie Beretta's NPI number?

The NPI number for Kallie Beretta is 1306465935. It was assigned to this individual provider in the NPPES registry on April 14, 2020.

Where is Kallie Beretta located?

Kallie Beretta practices at 4401 Riverchase Dr, Phenix City, AL 36867. The listed phone number is (334) 732-3000.

What is Kallie Beretta's specialty?

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

Is Kallie Beretta enrolled in Medicare?

Yes. Kallie Beretta is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kallie Beretta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kallie Beretta reassigns Medicare benefits to 8 organizations: Amsol Anesthetists Of Georgia, LLC (Columbus, GA), Sentry Anesthesia Management, LLC (Newnan, GA), Crna Services Of Dgh (Decatur, AL), Clinical Colleagues LLC (Van Wert, OH), Springfield Anesthesia Service, Inc. (Springfield, MA) and 3 more organizations, listed in the Medicare section above. 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 Kallie Beretta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kallie Beretta accept?

Health plans from Blue Cross and Blue Shield of Montana and Mountain Health CO-OP list Kallie Beretta 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 Kallie Beretta affiliated with any hospitals?

According to CMS data, Kallie Beretta is affiliated with Billings Clinic and Landmark Medical Center.

When was this NPI record last updated?

The NPPES record for Kallie Beretta was last updated on June 17, 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.