SANDRA RENEE BULTEMEIER CRNA
NPI 1811352214
Nurse Anesthetist, Certified Registered in Fort Wayne, IN
About Sandra Renee Bultemeier Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SANDRA RENEE BULTEMEIER CRNA (NPI 1811352214) is an individual nurse anesthetist, certified registered in Fort Wayne, Indiana, licensed in Indiana (28183152A) and active in the NPI registry since December 2015. She is affiliated with Orthopaedic Hospital At Parkview North and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
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
Sandra Renee Bultemeier 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 Reassignment
Medicare enrollment records show Sandra Bultemeier reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fort Wayne, IN 46825
- Reassigned Medicare billing, Indiana enrollment
- 40 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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Orthopaedic Hospital At Parkview North
Acute Care Hospitals · Fort Wayne, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46825 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 Sandra Bultemeier's NPI number?
The NPI number for Sandra Bultemeier is 1811352214. It was assigned to this individual provider in the NPPES registry on December 30, 2015.
Where is Sandra Bultemeier located?
Sandra Bultemeier practices at 5050 N Clinton St, Fort Wayne, IN 46825. The listed phone number is (260) 484-8551.
What is Sandra Bultemeier's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Sandra Bultemeier enrolled in Medicare?
Yes. Sandra Bultemeier 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 organization bills Medicare for Sandra Bultemeier's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Bultemeier reassigns Medicare benefits to Surgery One Anesthesia, LLC (Fort Wayne, IN). The 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 Sandra Bultemeier's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Sandra Bultemeier affiliated with any hospitals?
According to CMS data, Sandra Bultemeier is affiliated with Orthopaedic Hospital At Parkview North.
When was this NPI record last updated?
The NPPES record for Sandra Bultemeier was last updated on October 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Sandra Renee Bultemeier, CRNA · NPI 1811352214
Nurse Anesthetist, Certified Registered physician in Fort Wayne, Indiana. Individual provider, active in the CMS NPPES registry since December 30, 2015.
## Identity
- **NPI:** 1811352214 (Entity type: Individual)
- **Enumerated:** December 30, 2015
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 28183152A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 5050 N CLINTON ST, Fort Wayne, IN 46825-5886
- **Phone:** (260) 484-8551 · **Fax:** (260) 482-5060
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Surgery One Anesthesia, LLC (NPI 1144724402, Fort Wayne, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** October 30, 2018
- **Other identifiers:** Medicaid 201340930 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1811352214) · Data from the CMS NPPES public registry.