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SAINT CHARLES SURGICAL PAVILION INC
NPI 1952486862
Nurse Anesthetist, Certified Registered in Jasper, IN

Active since October 26, 2006
1900 SAINT CHARLES ST, JASPER, IN 47546(812) 634-1211(812) 634-9762 Get Directions Write a Review

NPPES record last updated: January 13, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Saint Charles Surgical Pavilion Inc NPPES

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

SAINT CHARLES SURGICAL PAVILION INC (NPI 1952486862) is a healthcare organization registered as a nurse anesthetist, certified registered in Jasper, Indiana and active in the NPI registry since October 2006. The organization lists Randall G Norris, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1952486862
Entity TypeOrganization
Primary Taxonomy367500000X
Legal Business NameSAINT CHARLES SURGICAL PAVILION INC
Location Address1900 SAINT CHARLES STJasper, IN 47546-9145
Mailing Address1900 Saint Charles StJasper, IN 47546-9145 · (812) 634-1211 · Fax (812) 634-9762
Phone(812) 634-1211
Fax(812) 634-9762
Organization SubpartNo
Authorized OfficialRandall G NorrisCeo/owner · (812) 634-1211
Enumeration DateOctober 26, 2006
Last NPPES UpdateJanuary 13, 2012
✔ NPI 1952486862 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
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.
1900 SAINT CHARLES ST, Jasper, IN 47546
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Other Identifiers 2

Medicaid200339100AIN
Medicare PIN180560IN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Saint Charles Surgical Pavilion Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Saint Charles Surgical Pavilion Inc, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Amanda Gaither, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1164621371
350 BLOUNTVILLE HWY SUITE 207
Bristol, TN 37620
(423) 968-4540
✔ Accepts Medicare288 mi
Mitsa Greene, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1386883783
7051 SOUTHPOINT PKWY S #100
Jacksonville, FL 32216
(904) 854-4854
✔ Accepts Medicare640 mi

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

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 Saint Charles Surgical Pavilion Inc's NPI number?

The NPI number for Saint Charles Surgical Pavilion Inc is 1952486862. It was assigned to this organization in the NPPES registry on October 26, 2006.

Where is Saint Charles Surgical Pavilion Inc located?

Saint Charles Surgical Pavilion Inc is located at 1900 Saint Charles St, Jasper, IN 47546. The listed phone number is (812) 634-1211.

What is Saint Charles Surgical Pavilion Inc's specialty?

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

Is Saint Charles Surgical Pavilion Inc enrolled in Medicare?

Yes. Saint Charles Surgical Pavilion Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Saint Charles Surgical Pavilion Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Certified Registered Nurse Anesthetist (CRNA), reassign their Medicare billing to Saint Charles Surgical Pavilion Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Saint Charles Surgical Pavilion Inc accept?

Health plans from Anthem Blue Cross and Blue Shield list Saint Charles Surgical Pavilion Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Saint Charles Surgical Pavilion Inc was last updated on January 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.