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AMBER MODAFFERI CRNA, RN
NPI 1558021121
Nurse Anesthetist, Certified Registered in Carthage, NY

Active since December 23, 2021
1001 WEST ST, CARTHAGE, NY 13619(315) 493-1000 Get Directions Write a Review

NPPES record last updated: December 23, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Amber Modafferi Crna, Rn NPPES

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

AMBER MODAFFERI CRNA, RN (NPI 1558021121) is an individual nurse anesthetist, certified registered in Carthage, New York, licensed in New York (138545) and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1558021121
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameAMBER MODAFFERICredential: CRNA, RN
Location Address1001 WEST STCarthage, NY 13619-9703
Mailing Address37 Bridge StCarthage, NY 13619-1352 · (315) 561-3068
Phone(315) 493-1000
Sole ProprietorYes
Enumeration DateDecember 23, 2021
NPPES CertifiedDecember 23, 2021
✔ NPI 1558021121 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
License✔ Licensed in NY · 138545
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.
1001 WEST ST, Carthage, NY 13619
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amber Modafferi Crna, Rn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

Medicare enrollment records show Amber Modafferi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carthage Area Hospital Inc
Same address
Critical Access
1001 WEST ST
Carthage, NY 13619
  • Reassigned Medicare billing, New York enrollment
  • 199 clinicians in this Medicare group
NPI 1053497388 (315) 493-1000
Claxton-Hepburn Medical Center
49 mi
Psychiatric Hospital
214 KING ST STE B
Ogdensburg, NY 13669
  • Reassigned Medicare billing, New York enrollment
  • 129 clinicians in this Medicare group
NPI 1891753034 (315) 393-3600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MR. MICHAEL EUGENE FLAHERTY PA
Physician Assistant (Medical)
1001 WEST ST
CARTHAGE, NY 13619
Jefferson County (315) 493-1000
RYANN MAIER DPT
Physical Therapist
1001 WEST ST
CARTHAGE, NY 13619
Jefferson County (315) 493-1340
TERESA Y INTORCIA MNT
Dietitian, Registered (Nutrition, Metabolic)
1001 WEST ST
CARTHAGE, NY 13619
Jefferson County (315) 493-1005
DR. MICHAEL ELIJAH GORDON JR. M.D.
Anesthesiology
1001 WEST ST
CARTHAGE, NY 13619
Jefferson County (315) 493-1001
MRS. KATRINA LEIGH NORTZ PT
Physical Therapist
1001 WEST ST
CARTHAGE, NY 13619
Jefferson County (315) 493-1000
CARTHAGE AREA HOSPITAL INC
General Acute Care Hospital (Critical Access)
1001 WEST ST
CARTHAGE, NY 13619
Jefferson County (315) 493-1000
CARTHAGE AREA HOSPITAL, INC
Surgery
1001 WEST ST
CARTHAGE, NY 13619
Jefferson County (315) 493-0110
MR. CHRISTOPHER MICHAEL MCCARTNEY CRNA
Nurse Anesthetist, Certified Registered
1001 WEST ST
CARTHAGE, NY 13619
Jefferson County (315) 952-5650

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 Amber Modafferi's NPI number?

The NPI number for Amber Modafferi is 1558021121. It was assigned to this individual provider in the NPPES registry on December 23, 2021.

Where is Amber Modafferi located?

Amber Modafferi practices at 1001 West St, Carthage, NY 13619. The listed phone number is (315) 493-1000.

What is Amber Modafferi's specialty?

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

Is Amber Modafferi enrolled in Medicare?

Yes. Amber Modafferi is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Amber Modafferi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amber Modafferi reassigns Medicare benefits to 2 organizations: Carthage Area Hospital Inc (Carthage, NY) and Claxton-Hepburn Medical Center (Ogdensburg, NY). 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 Amber Modafferi'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 Amber Modafferi was last updated on December 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.