Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andre Michael Chepetan

Individual provider Certified Registered Nurse Anesthetist · NPI 1780286344

Andre Michael Chepetan is a Certified Registered Nurse Anesthetist (CRNA) in Albuquerque, New Mexico. Qualified in 2020, 6 years ago. Practices with Main Street Anesthesia of New Mexico, LLC, a 228-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Mexico and Texas.

Years since qualifying
6
Licensed in
NM, TX
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

6709 Academy Rd NE Ste A
Albuquerque, NM 87109-3363
Phone: (505) 308-3145
Fax: (505) 308-3147
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5323 Harry Hines Blvd, Dallas, TX 75390-7201 — (214) 648-6400

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 64039 (NM)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 1029382 (TX)

Record details

NPI number1780286344
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 9, 2020
Last updated in NPPESAugust 25, 2024
Certification dateAugust 25, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Main Street Anesthesia Of New Mexico, Llc — 228 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Albuquerque