DR. EDNITA CHARZETTE STREET FOUNTAIN DNP, CRNA
NPI 1578141024
Nurse Anesthetist, Certified Registered in Terre Haute, IN
About Dr. Ednita Charzette Street Fountain Dnp, Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. EDNITA CHARZETTE STREET FOUNTAIN DNP, CRNA (NPI 1578141024) is an individual nurse anesthetist, certified registered in Terre Haute, Indiana, licensed in Mississippi (901702) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, is affiliated with Marion General Hospital, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Ednita Charzette Street Fountain Dnp, Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Ednita Fountain reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Terre Haute, IN 47804
- Reassigned Medicare billing, Indiana enrollment
- 166 clinicians in this Medicare group
Van Wert, OH 45891
- Reassigned Medicare billing, Indiana enrollment
- 100 clinicians in this Medicare group
New Iberia, LA 70563
- Reassigned Medicare billing, Mississippi enrollment
- 54 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 6
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Marion General Hospital
Acute Care Hospitals · Marion, INUnion Hospital Inc
Acute Care Hospitals · Terre Haute, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 47807 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 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TERRE HAUTE, IN 47807
TERRE HAUTE, IN 47807
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 Ednita Fountain's NPI number?
The NPI number for Ednita Fountain is 1578141024. It was assigned to this individual provider in the NPPES registry on March 29, 2021.
Where is Ednita Fountain located?
Ednita Fountain practices at 1421 N 7th St, Terre Haute, IN 47807. The listed phone number is (812) 231-4608.
What is Ednita Fountain's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Ednita Fountain enrolled in Medicare?
Yes. Ednita Fountain is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Ednita Fountain's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ednita Fountain reassigns Medicare benefits to 3 organizations: Iceland Anesthesia Management, LLC (Terre Haute, IN), Clinical Colleagues LLC (Van Wert, OH) and Youngs Professional Services LLC (New Iberia, LA). 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 Ednita Fountain's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Ednita Fountain affiliated with any hospitals?
According to CMS data, Ednita Fountain is affiliated with Marion General Hospital and Union Hospital Inc.
When was this NPI record last updated?
The NPPES record for Ednita Fountain was last updated on June 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Ednita Charzette Street Fountain, DNP, CRNA · NPI 1578141024
Nurse Anesthetist, Certified Registered physician in Terre Haute, Indiana. Individual provider, active in the CMS NPPES registry since March 29, 2021.
## Identity
- **NPI:** 1578141024 (Entity type: Individual)
- **Enumerated:** March 29, 2021
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 901702 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 1421 N 7TH ST, Terre Haute, IN 47807-1005
- **Phone:** (812) 231-4608 · **Fax:** (812) 231-4675
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Iceland Anesthesia Management, LLC (NPI 1912578667, Terre Haute, IN); Clinical Colleagues LLC (NPI 1992725766, Van Wert, OH); Youngs Professional Services LLC (NPI 1922178599, New Iberia, LA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** June 16, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1578141024) · Data from the CMS NPPES public registry.