CHAD MORTIMER CRNA
NPI 1710694336
Nurse Anesthetist, Certified Registered in Canfield, OH

Q: What is Chad Mortimer's NPI number?

The NPI number for Chad Mortimer is 1710694336. It was assigned to this individual provider in the NPPES registry on November 2, 2022.

Q: What is Chad Mortimer's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Chad Mortimer was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since November 02, 2022Accepts Medicare Assignment

4135 BOARDMAN CANFIELD RD STE 101, CANFIELD, OH 44406(330) 286-5330 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 9, 2025, Nov 2, 2022 (2 updates tracked since 2022).

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About Chad Mortimer Crna NPPES

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

CHAD MORTIMER CRNA (NPI 1710694336) is an individual nurse anesthetist, certified registered in Canfield, Ohio, licensed in Ohio (APRN.CRNA.0021356) and active in the NPI registry since November 2022. He is affiliated with Alliance Community Hospital, maintains a secondary practice location in Rootstown, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1710694336

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameCHAD MORTIMERCredential: CRNA

Location Address4135 BOARDMAN CANFIELD RD STE 101Canfield, OH 44406-9803

Mailing Address3670 Strawberry HlRootstown, OH 44272-9278 · (330) 219-9180

Phone(330) 286-5330

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateNovember 2, 2022

Last NPPES UpdateJune 9, 20252 updates tracked since enumeration

NPPES CertifiedJune 9, 2025

✔ NPI 1710694336 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

License✔ Licensed in OH · APRN.CRNA.0021356

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 ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License RN.416494 (OH)

4135 BOARDMAN CANFIELD RD STE 101, Canfield, OH 44406

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Secondary Practice Location 1

Location 13670 Strawberry HlRootstown, OH 44272-9278 · Phone (330) 219-9180

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

Chad Mortimer 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 ID2668980780

PECOS Enrollment IDI20250731003364

Medicare Billing Reassignment

Medicare enrollment records show Chad Mortimer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bel-Park Anesthesia Associates, Inc.

7.2 mi

Anesthesiology

1044 BELMONT AVE
Youngstown, OH 44504

Reassigned Medicare billing, Ohio enrollment
245 clinicians in this Medicare group

NPI 1508813528 (330) 286-5330

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Alliance Community Hospital

Acute Care Hospitals · Alliance, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360131

Location200 East State StreetAlliance, OH 44601 · Stark County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44406 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRYCE THOMAS ALLEN CRNA

Nurse Anesthetist, Certified Registered