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

Zachary Charles Soderblom, CRNA

Individual provider Registered Nurse · NPI 1104551530

Zachary Charles Soderblom, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Greenville, North Carolina. Qualified in 2023, 3 years ago. Practices with Chs Anesthesia Services Group Inc, a 737-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
3
Licensed in
NC
In the registry since
2022
Specialties on file
2
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

2430 Emerald Pl Ste 201
Greenville, NC 27834-5743
Phone: (252) 752-2140
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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 7171 (NC)
Registered Nurse Taxonomy 163W00000X · Licence 301736 (NC)

Record details

NPI number1104551530
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJuly 20, 2022
Last updated in NPPESMay 25, 2023
Certification dateMay 25, 2023

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Chs Anesthesia Services Group Inc — 737 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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