Doctor profile · Federal record
Dr. LATISHA PETTWAY, CRNA
Certified Registered Nurse Anesthetist (CMS: CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)) · NEW LONDON, CT
- NPI 1336422377
- Accepts Medicare
- 15 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
365 MONTAUK AVE
NEW LONDON, CT 063204700
(860) 442-0711 - Mailing address
-
30 AUSTIN ST
NEW HAVEN, CT 065151236
Credentials & registration
- NPI registered
- September 2011 — 15 yrs on file
- Profile last updated
- July 13, 2025
- Year of graduation
- 2011 — 15 yrs since
- Specialty taxonomy
- 367500000X — NUCC code
- State license (1)
- Connecticut #4954
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1336422377. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
12
Distinct HCPCS
1
Medicare allowed
$2,009
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
01402 |
Anesthesia for procedure for total knee joint replacement | 12 | 12 | $167 |
In context: peer comparison
Among 13 peers in this city , average services per provider: 43. This provider delivers 0.3× the peer median.