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

Individual provider Certified Registered Nurse Anesthetist · NPI 1780191031

Hendra Yosia Sitompul, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Danville, Kentucky. Qualified in 2017, 9 years ago. Practices with Ephraim McDowell Health Resource Inc, a 158-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
9
Licensed in
KY
In the registry since
2018
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

210 W Main St Fl 2
Danville, KY 40422-1812
Phone: (859) 236-3726
Fax: (859) 236-3019
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 217 S 3rd St, Danville, KY 40422-1823 — (909) 239-1000

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 3011997 (KY)

Record details

NPI number1780191031
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorYes
NPI enumeratedJanuary 9, 2018
Last updated in NPPESMay 20, 2022
Certification dateMay 20, 2022

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Ephraim McDowell Health Resource Inc — 158 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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