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SEAN PRUETT CRNA
NPI 1679310122
Nurse Anesthetist, Certified Registered in Elmendorf Afb, AK

Active since July 11, 2024Accepts Medicare Assignment
5955 ZEAMER AVE, ELMENDORF AFB, AK 99506(907) 580-5630 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sean Pruett Crna NPPES

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

SEAN PRUETT CRNA (NPI 1679310122) is an individual nurse anesthetist, certified registered in Elmendorf Afb, Alaska, licensed in Alaska (225541) and active in the NPI registry since July 2024. He is a graduate of Other (2024).

NPPES Registry Identity

NPI1679310122
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameSEAN PRUETTCredential: CRNA
Location Address5955 ZEAMER AVEElmendorf Afb, AK 99506-3702
Mailing Address5955 Zeamer AveElmendorf Afb, AK 99506-3702 · (907) 580-5630
Phone(907) 580-5630
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 11, 2024
Last NPPES UpdateOctober 15, 2024
NPPES CertifiedOctober 15, 2024
✔ NPI 1679310122 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 AK · 225541
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.
5955 ZEAMER AVE, Elmendorf Afb, AK 99506
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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 and accepts Medicare assignment

Sean Pruett 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.

PECOS PAC ID9436671484
PECOS Enrollment IDI20250319001122

Medicare Billing Reassignments

3

Medicare enrollment records show Sean Pruett reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Providence Anchorage Anesthesia Medical Group, P.C.
4.0 mi
Anesthesiology
3300 PROVIDENCE DR, SUITE 207
Anchorage, AK 99508
  • Reassigned Medicare billing, Alaska enrollment
  • Medicare enrollment name: Providence Anchorage Anesthesia Medical Group PC
  • 90 clinicians in this Medicare group
NPI 1659368397 (907) 561-0005
Alpine Anesthesia LLC
4.2 mi
Anesthesiology
3831 PIPER STREET, SUITE S-110
Anchorage, AK 99508
  • Reassigned Medicare billing, Alaska enrollment
  • 22 clinicians in this Medicare group
NPI 1750600995 (907) 575-3992
Chugach Anesthesia, LLC
4.7 mi
Anesthesiology
4100 LAKE OTIS PKWY STE 222
Anchorage, AK 99508
  • Reassigned Medicare billing, Alaska enrollment
  • 79 clinicians in this Medicare group
NPI 1093712358 (907) 550-6111

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99506 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$168.20 typical visit price
range $71.33 – $222.64
Typical copayment $42.05 (range $17.83 – $55.66)
Most-billed visit code 99204
Established Patient
$90.40 typical visit price
range $21.84 – $181.48
Typical copayment $22.60 (range $5.46 – $45.37)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. AUDREA DONETA WILLIAMS M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
5955 ZEAMER AVE
JBER, AK 99506
Anchorage Municipality (907) 580-6552
DR. IAN CIRASUNDA DETTMAN PHARMD
Pharmacist
5955 ZEAMER AVE
JBER, AK 99506
Anchorage Municipality (907) 580-6800
DR. BRIAN G ROGERS MD
Emergency Medicine
5955 ZEAMER AVE, 3RD MD6
ELMENDORF AFB, AK 99506
Anchorage Municipality (907) 580-5555
MS. MONIQUE CELINE GASSEK ATC
Specialist/Technologist (Athletic Trainer)
5955 ZEAMER AVE
ELMENDORF AFB, AK 99506
Anchorage Municipality (603) 915-7141
RACHELLE GOEBEL
Dietitian, Registered
5955 ZEAMER AVE
JBER, AK 99506
Anchorage Municipality (907) 580-4050
DR. DAVID JOSEPH SHAW D.O.
Internal Medicine (Cardiovascular Disease)
5955 ZEAMER AVE, 673D MDG
JBER ELMENDORF AFB, AK 99506
Anchorage Municipality (907) 580-1011
ELDON SNYDER D.O.
Radiology (Diagnostic Radiology)
5955 ZEAMER AVE
JBER, AK 99506
Anchorage Municipality (907) 580-6760
DR. KIMPREET KAUR
Anesthesiology (Pain Medicine)
5955 ZEAMER AVE
ELMENDORF AFB, AK 99506
Anchorage Municipality (907) 580-7246

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 Sean Pruett's NPI number?

The NPI number for Sean Pruett is 1679310122. It was assigned to this individual provider in the NPPES registry on July 11, 2024.

Where is Sean Pruett located?

Sean Pruett practices at 5955 Zeamer Ave, Elmendorf Afb, AK 99506. The listed phone number is (907) 580-5630.

What is Sean Pruett's specialty?

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

Is Sean Pruett enrolled in Medicare?

Yes. Sean Pruett 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 Sean Pruett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sean Pruett reassigns Medicare benefits to 3 organizations: Providence Anchorage Anesthesia Medical Group, P.C. (Anchorage, AK), Alpine Anesthesia LLC (Anchorage, AK) and Chugach Anesthesia, LLC (Anchorage, AK). 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 Sean Pruett'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 Sean Pruett was last updated on October 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.