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

Individual provider Certified Registered Nurse Anesthetist · NPI 1619442613

Samuel Irving, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Terre Haute, Indiana. Qualified in 2018, 8 years ago. Practices with Clinical Colleagues Inc, a 173-clinician group. Licensed in Indiana.

Years since qualifying
8
Licensed in
IN
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

3901 S 7th St
Terre Haute, IN 47802-5709
Phone: (630) 776-4711
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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 28247851A (IN)

Record details

NPI number1619442613
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedOctober 5, 2018
Last updated in NPPESMay 20, 2019
Mailing address1978 W 9640 S, South Jordan, UT 84095-9365

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Clinical Colleagues Inc — 173 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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