SAMUEL JOHN MITZEL CRNA
NPI 1457466963
Nurse Anesthetist, Certified Registered in Lakewood, CO
About Samuel John Mitzel Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMUEL JOHN MITZEL CRNA (NPI 1457466963) is an individual nurse anesthetist, certified registered in Lakewood, Colorado, licensed in Minnesota (R 168226 5) and active in the NPI registry since August 2006. He is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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
Samuel John Mitzel 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.
Medicare Billing Reassignments
2Medicare enrollment records show Samuel Mitzel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bradenton, FL 34208
- Reassigned Medicare billing, Florida enrollment
- 1,887 clinicians in this Medicare group
Orlando, FL 32825
- Reassigned Medicare billing, Florida enrollment
- 29 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 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 80227 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 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAKEWOOD, CO 80227
LAKEWOOD, CO 80227
LAKEWOOD, CO 80227
LAKEWOOD, CO 80227
LAKEWOOD, CO 80227
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 Samuel Mitzel's NPI number?
The NPI number for Samuel Mitzel is 1457466963. It was assigned to this individual provider in the NPPES registry on August 21, 2006.
Where is Samuel Mitzel located?
Samuel Mitzel practices at 3333 S Wadsworth Blvd Unit D100, Lakewood, CO 80227. The listed phone number is (303) 205-1090.
What is Samuel Mitzel's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Samuel Mitzel enrolled in Medicare?
Yes. Samuel Mitzel 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 Samuel Mitzel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Mitzel reassigns Medicare benefits to 2 organizations: Anesthesia Dynamics LLC (Bradenton, FL) and Orange County Anesthesia Associates, LLC (Orlando, FL). 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 Samuel Mitzel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Samuel Mitzel was last updated on September 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Samuel John Mitzel, CRNA · NPI 1457466963
Nurse Anesthetist, Certified Registered physician in Lakewood, Colorado. Individual provider, active in the CMS NPPES registry since August 21, 2006.
## Identity
- **NPI:** 1457466963 (Entity type: Individual)
- **Enumerated:** August 21, 2006
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** R 168226 5 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 3333 S WADSWORTH BLVD UNIT D100, Lakewood, CO 80227-5117
- **Phone:** (303) 205-1090 · **Fax:** (303) 205-5534
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Anesthesia Dynamics LLC (NPI 1073001012, Bradenton, FL); Orange County Anesthesia Associates, LLC (NPI 1003434762, Orlando, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** September 20, 2013
- **Other identifiers:** Medicare PIN 430005723 (MN); Medicaid 246925000 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1457466963) · Data from the CMS NPPES public registry.