Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Dominique S Fertal, CRNA

Individual provider Registered Nurse · NPI 1891220810

Dominique S Fertal, CRNA is registered under Certified Registered Nurse Anesthetist (CRNA) in Canandaigua, New York. Qualified in 2017, 9 years ago. Practices with West Virginia University Medical Corporation, a 1,981-clinician group and accepts Medicare assignment. Licensed in New York and Pennsylvania.

Years since qualifying
9
Licensed in
NY, PA
In the registry since
2017
Specialties on file
3
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

350 Parrish St
Canandaigua, NY 14424-1731
Phone: (585) 919-2668
Fax: (585) 396-6455
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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 629842 (NY)
Registered Nurse Taxonomy 163W00000X · Licence RN656120 (PA)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence RN656120 (PA)

Record details

NPI number1891220810
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedApril 27, 2017
Last updated in NPPESJanuary 13, 2020
Certification dateJanuary 13, 2020

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice West Virginia University Medical Corporation — 1981 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients42
Services billed 42 a service is one billed item, such as a visit, a test or a procedure
Average patient age75

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at West Virginia University Medical Corporation

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 1981 clinicians in the practice; 12 are shown here.

Other providers in Canandaigua