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

Ethan John Chupka, CRNA

Individual provider Registered Nurse · NPI 1659971034

Ethan John Chupka, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Kalamazoo, Michigan. Qualified in 2020, 6 years ago. Practices with Hospitalist Medicine Physicians of Washington - Tcs, a 208-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
6
Licensed in
MI
In the registry since
2020
Specialties on file
2
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

900 Peeler St
Kalamazoo, MI 49008-2300
Phone: (269) 342-7833
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 4704315820 (MI)
Registered Nurse Taxonomy 163W00000X · Licence 4704315820 (MI)

Record details

NPI number1659971034
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedOctober 27, 2020
Last updated in NPPESNovember 19, 2021
Certification dateNovember 19, 2021

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 Hospitalist Medicine Physicians Of Washington - Tcs — 208 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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