Cinderella Famutimi, CRNA
NPI 1154289007ActiveIndividual· Nurse Anesthetist, Certified Registered· Lake Havasu City, AZ
Nurse Anesthetist, Certified Registered (CRNA) with Northeastern Anesthesia PLLC, practicing in Lake Havasu City, Arizona. Enrolled in Medicare as practitioner - certified registered nurse anesthetist (crna). Lists Havasu Regional Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1154289007 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CRNA |
| Sole proprietor | Yes |
| NPI issued | Jan 12, 2026 |
| Last updated in NPPES | Jan 12, 2026 |
| Certified by provider | Jan 11, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | 157170 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Certified Registered Nurse Anesthetist (CRNA) (AZ) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical group
- Northeastern Anesthesia PLLCShow Low, AZ · 81 clinicians
Hospital affiliations
- Havasu Regional Medical CenterLake Havasu City, AZ
- Kingman Regional Medical CenterKingman, AZ
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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