FORTY FORT ANESTHESIA ASSOCIATES LLC
NPI 1346600038
Nurse Anesthetist, Certified Registered in Forty Fort, PA
About Forty Fort Anesthesia Associates Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FORTY FORT ANESTHESIA ASSOCIATES LLC (NPI 1346600038) is a healthcare organization registered as a nurse anesthetist, certified registered in Forty Fort, Pennsylvania and active in the NPI registry since February 2016. The organization lists Phillip Clendenin, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Forty Fort Anesthesia Associates Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
25Medicare enrollment records show 25 clinicians reassign Medicare billing to Forty Fort Anesthesia Associates LLC, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 3
Nearest to this location (20)
See all 25Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Forty Fort Anesthesia Associates LLC's NPI number?
The NPI number for Forty Fort Anesthesia Associates LLC is 1346600038. It was assigned to this organization in the NPPES registry on February 24, 2016.
Where is Forty Fort Anesthesia Associates LLC located?
Forty Fort Anesthesia Associates LLC is located at 190 Welles St, Forty Fort, PA 18704. The listed phone number is (570) 331-7615.
What is Forty Fort Anesthesia Associates LLC's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Forty Fort Anesthesia Associates LLC enrolled in Medicare?
Yes. Forty Fort Anesthesia Associates LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Forty Fort Anesthesia Associates LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 25 clinicians in 3 Medicare specialties reassign their Medicare billing to Forty Fort Anesthesia Associates LLC. A 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 the clinician's services. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (20), Anesthesiology (4) and Interventional Pain Management (1). Of these, 5 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Forty Fort Anesthesia Associates LLC was last updated on August 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Forty Fort Anesthesia Associates Llc · NPI 1346600038
Nurse Anesthetist, Certified Registered organization in Forty Fort, Pennsylvania. Organization record, active in the CMS NPPES registry since February 24, 2016.
## Identity
- **NPI:** 1346600038 (Entity type: Organization)
- **Enumerated:** February 24, 2016
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **Organization subpart:** No
- **Authorized official:** Phillip Clendenin, PRESIDENT
## Practice location
- **Address:** 190 WELLES ST, Forty Fort, PA 18704-4968
- **Phone:** (570) 331-7615 · **Fax:** (570) 331-7614
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 25 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Certified Registered Nurse Anesthetist (CRNA) (20), Anesthesiology (4), Interventional Pain Management (1); 5 practice within 10 miles; [full list](https://npiprofile.com/npi/1346600038/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 9, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1346600038) · Data from the CMS NPPES public registry.