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

Active since April 14, 2020
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: August 16, 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 affiliated with Billings Clinic, maintains 3 additional practice locations, and is a graduate of Other (2020).

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
Phone(334) 732-3000
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
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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

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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

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

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.

ELIZABETH CARLINO
Orthopaedic Surgery
4401 RIVERCHASE DR
PHENIX CITY, AL 36867
Russell County (334) 732-3000
DR. JUSTIN LEE FUSSELL PHARMD
Pharmacist
4401 RIVERCHASE DR
PHENIX CITY, AL 36867
Russell County (334) 732-3526
DR. JON CHRISTOPHER GIBBS JR. MD
Student in an Organized Health Care Education/Training Program
4401 RIVERCHASE DR
PHENIX CITY, AL 36867
Russell County (334) 732-3000
KEVIN RICHARD KING MD
Hospitalist
4401 RIVERCHASE DR
PHENIX CITY, AL 36867
Russell County (334) 732-3000
AARON PAUL TILLMAN
Orthopaedic Surgery
4401 RIVERCHASE DR
PHENIX CITY, AL 36867
Russell County (334) 732-3000
DR. WILLIAM COLE CONNELLEY DO
Student in an Organized Health Care Education/Training Program
4401 RIVERCHASE DR
PHENIX CITY, AL 36867
Russell County (334) 732-3083
AZAD ALAMGIR KABIR M.D.
Hospitalist
4401 RIVERCHASE DR
PHENIX CITY, AL 36867
Russell County (334) 732-3000
DR. JOHN CARLOS MCDEARMAN IV DO
Student in an Organized Health Care Education/Training Program
4401 RIVERCHASE DR
PHENIX CITY, AL 36867
Russell County (334) 732-3000

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.

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 14 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.