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

Mitchell Haverstuhl, DNAP

Individual provider Registered Nurse · NPI 1629759469

Mitchell Haverstuhl, DNAP is a Certified Registered Nurse Anesthetist (CRNA) in Charleston, South Carolina. Qualified in 2024, 2 years ago. Practices with Trident Anesthesia Group LLC, a 119-clinician group and accepts Medicare assignment. Licensed in Indiana and South Carolina.

Years since qualifying
2
Licensed in
IN, SC
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

9263 Medical Plaza Dr Ste E
Charleston, SC 29406-7112
Phone: (843) 572-1228
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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 148290 (SC)
Registered Nurse Taxonomy 163W00000X · Licence 239047 (IN)

Record details

NPI number1629759469
Entity typeIndividual (Type 1)
GenderMale
Credentials DNAP
Sole proprietorYes
NPI enumeratedJuly 25, 2023
Last updated in NPPESMay 20, 2024
Certification dateMay 20, 2024

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Trident Anesthesia Group Llc — 119 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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