ETHAN JOHN CHUPKA CRNA
NPI 1659971034
Nurse Anesthetist, Certified Registered in Pueblo, CO
About Ethan John Chupka Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ETHAN JOHN CHUPKA CRNA (NPI 1659971034) is an individual nurse anesthetist, certified registered in Pueblo, Colorado, licensed in Michigan (4704315820) and active in the NPI registry since October 2020. He is enrolled in Medicare PECOS, is affiliated with Providence St Vincent Medical Center, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
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
Ethan John Chupka 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
6Medicare enrollment records show Ethan Chupka reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Greenwood Village, CO 80111
- Reassigned Medicare billing, Colorado enrollment
- 971 clinicians in this Medicare group
Denver, CO 80218
- Reassigned Medicare billing, Colorado enrollment
- 160 clinicians in this Medicare group
Loveland, CO 80538
- Reassigned Medicare billing, Colorado enrollment
- 2,596 clinicians in this Medicare group
Irving, TX 75038
- Reassigned Medicare billing, Michigan enrollment
- 283 clinicians in this Medicare group
Kalamazoo, MI 49008
- Reassigned Medicare billing, Michigan enrollment
- 152 clinicians in this Medicare group
Portland, OR 97213
- Reassigned Medicare billing, Oregon enrollment
- 419 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
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.
Providence St Vincent Medical Center
Acute Care Hospitals · Portland, ORProvidence Portland Medical Center
Acute Care Hospitals · Portland, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 81003 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Ethan Chupka's NPI number?
The NPI number for Ethan Chupka is 1659971034. It was assigned to this individual provider in the NPPES registry on October 27, 2020.
Where is Ethan Chupka located?
Ethan Chupka practices at 400 W 16th St, Pueblo, CO 81003. The listed phone number is (719) 584-4045.
What is Ethan Chupka's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Ethan Chupka enrolled in Medicare?
Yes. Ethan Chupka 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 Ethan Chupka's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ethan Chupka reassigns Medicare benefits to 6 organizations: Us Anesthesia Partners Of Colorado Inc. (Greenwood Village, CO), Hospitalist Medicine Physicians Of Colorado - Denver PC (Denver, CO), Poudre Valley Medical Group, LLC (Loveland, CO), Northstar Anesthesia Of Michigan II PC (Irving, TX), Kalamazoo Anesthesiology P C (Kalamazoo, MI) and 1 more organization, listed in the Medicare section above. 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 Ethan Chupka's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Ethan Chupka affiliated with any hospitals?
According to CMS data, Ethan Chupka is affiliated with Providence St Vincent Medical Center and Providence Portland Medical Center.
When was this NPI record last updated?
The NPPES record for Ethan Chupka was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Ethan John Chupka, CRNA · NPI 1659971034
Nurse Anesthetist, Certified Registered physician in Pueblo, Colorado. Individual provider, active in the CMS NPPES registry since October 27, 2020.
## Identity
- **NPI:** 1659971034 (Entity type: Individual)
- **Enumerated:** October 27, 2020
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 4704315820 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 400 W 16TH ST, Pueblo, CO 81003-2745
- **Phone:** (719) 584-4045 · **Fax:** (719) 542-0809
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Us Anesthesia Partners Of Colorado Inc. (NPI 1922365782, Greenwood Village, CO); Hospitalist Medicine Physicians Of Colorado - Denver PC (NPI 1588453575, Denver, CO); Poudre Valley Medical Group, LLC (NPI 1366763260, Loveland, CO); Northstar Anesthesia Of Michigan II PC (NPI 1437268026, Irving, TX); Kalamazoo Anesthesiology P C (NPI 1407821796, Kalamazoo, MI); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** August 17, 2026
- **Other identifiers:** Other 4704315820 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1659971034) · Data from the CMS NPPES public registry.