FORT PAYNE ANESTHESIA SERVICES LLC
NPI 1669263976
Nurse Anesthetist, Certified Registered in Fort Payne, AL

Q: What is Fort Payne Anesthesia Services LLC's NPI number?

The NPI number for Fort Payne Anesthesia Services LLC is 1669263976. It was assigned to this organization in the NPPES registry on May 15, 2025.

Q: What is Fort Payne Anesthesia Services LLC's specialty?

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

Active since May 15, 2025

200 MEDICAL CENTER DR SW, FORT PAYNE, AL 35968(660) 826-5960 Get Directions Write a Review

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 7, 2026, May 15, 2025 (2 updates tracked since 2025).

On this page

About Fort Payne Anesthesia Services Llc NPPES

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

FORT PAYNE ANESTHESIA SERVICES LLC (NPI 1669263976) is a healthcare organization registered as a nurse anesthetist, certified registered in Fort Payne, Alabama and active in the NPI registry since May 2025. The organization lists Mike Crouch, Manager, as its authorized official.

NPPES Registry Identity

NPI1669263976

Entity TypeOrganization

Primary Taxonomy367500000X

Legal Business NameFORT PAYNE ANESTHESIA SERVICES LLC

Location Address200 MEDICAL CENTER DR SWFort Payne, AL 35968-3458

Mailing AddressPo Box 1547Sedalia, MO 65302-1547 · (660) 826-5960

Phone(660) 826-5960

Organization SubpartNo

Authorized OfficialMike CrouchManager · (660) 826-5960

Enumeration DateMay 15, 2025

Last NPPES UpdateMay 7, 20262 updates tracked since enumeration

NPPES CertifiedMay 7, 2026

✔ NPI 1669263976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

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.

Also ListedAnesthesiologyTaxonomy 207L00000X

200 MEDICAL CENTER DR SW, Fort Payne, AL 35968

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fort Payne Anesthesia Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 21 clinicians reassign Medicare billing to Fort Payne Anesthesia Services LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 2

Certified Registered Nurse Anesthetist (CRNA)20

Pain Management1

Nearest to this location (20)

See all 21

Carl Blankenship, MD

Pain Management

NPI 1912922428

200 MEDICAL CENTER DR SW
Fort Payne, AL 35968

(256) 845-3150

✔ PECOS✔ Accepts MedicareSame address

Jeremiah Griffin, CRNA