Amber Modafferi, CRNA, RN
NPI 1558021121ActiveIndividual· Nurse Anesthetist, Certified Registered· Carthage, NY
Nurse Anesthetist, Certified Registered (CRNA, RN) in Carthage, New York, licensed in NY, with an NPI issued in December 2021. Enrolled in Medicare as practitioner - certified registered nurse anesthetist (crna).
Overview
| NPI | 1558021121 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CRNA, RN |
| Sole proprietor | Yes |
| NPI issued | Dec 23, 2021 |
| Last updated in NPPES | Dec 23, 2021 |
| Certified by provider | Dec 23, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | 138545 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Certified Registered Nurse Anesthetist (CRNA) (NY) |
|---|
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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