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

Individual provider Certified Registered Nurse Anesthetist · NPI 1073148052

Carly Pruemer, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Saint Louis, Missouri. Qualified in 2020, 6 years ago. Practices with South County Anesthesia Associates Ltd, a 81-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
6
Licensed in
MO
In the registry since
2020
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

10010 Kennerly Rd
Saint Louis, MO 63128-2106
Phone: (636) 386-7222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 2020019749 (MO)

Record details

NPI number1073148052
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedMarch 10, 2020
Last updated in NPPESJuly 7, 2020
Certification dateJuly 7, 2020

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 South County Anesthesia Associates Ltd — 81 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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