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

Individual provider Certified Registered Nurse Anesthetist · NPI 1407214653

Nicole Marie Petrungaro, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Munster, Indiana. Qualified in 2006, 20 years ago. Practices with Nwi Medical Associates , LLC, a 65-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
20
Licensed in
IN
In the registry since
2016
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

901 Macarthur Blvd
Munster, IN 46321-2901
Phone: (219) 836-1600
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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 28226848A (IN)

Record details

NPI number1407214653
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedFebruary 3, 2016
Last updated in NPPESFebruary 3, 2016

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Nwi Medical Associates , Llc — 65 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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