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

Samuel J Thibodeaux, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1578544516

Samuel J Thibodeaux, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Ukiah, California. Qualified in 2005, 21 years ago. Practices with Willits Hospital Inc, a 67-clinician group and accepts Medicare assignment. Licensed in California and Iowa.

Years since qualifying
21
Licensed in
CA, IA
In the registry since
2005
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

271 Observatory Ave
Ukiah, CA 95482-5757
Phone: (707) 462-0681
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 NA3796 (CA)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence D105288 (IA)

Record details

NPI number1578544516
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedNovember 8, 2005
Last updated in NPPESMarch 22, 2013

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Willits Hospital Inc — 67 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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