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

Soo Min Summer Dewenter

Individual provider Registered Nurse · NPI 1437740982

Soo Min Summer Dewenter is a Certified Registered Nurse Anesthetist (CRNA) in Falls Church, Virginia. Qualified in 2020, 6 years ago. Practices with Northstar Anesthesia of Virginia, LLC, a 409-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
6
Licensed in
VA
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

3300 Gallows Rd
Falls Church, VA 22042-3307
Phone: (703) 776-4001
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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 0024180857 (VA)
Registered Nurse Taxonomy 163W00000X · Licence 0001274958 (VA)

Record details

NPI number1437740982
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 28, 2021
Last updated in NPPESJanuary 28, 2021
Certification dateJanuary 28, 2021
Mailing address2807 S Woodrow St Apt B, Arlington, VA 22206-3321

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Northstar Anesthesia Of Virginia, Llc — 409 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Falls Church