ZACHARY HALLIWELL (CRNA) – Certified Registered Nurse Anesthetist, NPI 1053951194

ZACHARY HALLIWELL (CRNA) is a healthcare provider. based in Montgomery, Alabama. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 899108 (MS). The NPI Number for ZACHARY HALLIWELL (CRNA) is 1053951194

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
ZACHARY HALLIWELL (CRNA)
NPI
1053951194
Phone
Not provided
Address
PO BOX 235019
Enumeration Date
7 January 2020
Last Update Date
7 January 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6018336011
Graduation Year
2019 (7 years ago)
PAC ID
1254768666
Group Practice PAC ID
3072575539
Professional Enrollment ID
I20200225001394
Address ID
MS396012350BR427XXNXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

760 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MS

Provider Addresses for ZACHARY HALLIWELL (CRNA)

  • PO BOX 235019

    MONTGOMERY, AL 361235019

    Phone:

    Type: Mailing

  • 969 LAKELAND DR

    JACKSON, MS 392164606

    Phone: (601) 200-2000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $199.

Total Amount is formed as General ($199) + Research ($0) + Ownership ($0) = $199.

Last reported payment date: 2024-08-14 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($132).

Total Amount

$199

General + Research + Ownership

Payments

11

Total payment records

General Amount

$199

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-14

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-02-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200225001394ICertified Registered Nurse Anesthetist (Crna)MSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2423$0
00790Anesthesia for other procedure on upper abdomen1616$0
View full utilization report →

Insurance plans in this area (ZIP 36123)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072575539View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MS
-MS
Nurse PractitionerMS
O B S T E T R I C S/ G Y N E C O L O G YLA
-MS
-NC
-MS
Internal MedicineMS
Nurse PractitionerMS
Thoracic Surgery, Cardiac Surgery, Vascular SurgeryMS

Reviews

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Frequently asked questions

How do payers reference ZACHARY HALLIWELL (CRNA)?
For ZACHARY HALLIWELL (CRNA), use NPI 1053951194 as the unique 10-digit identifier.
Is there an active status for ZACHARY HALLIWELL (CRNA)?
For scheduling context, ZACHARY HALLIWELL (CRNA) is shown as active in the registry.
What clinical focus is listed for ZACHARY HALLIWELL (CRNA)?
At a glance, ZACHARY HALLIWELL (CRNA) is tied to Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for ZACHARY HALLIWELL (CRNA)?
Travel planning: use Montgomery, Alabama as the reference point for ZACHARY HALLIWELL (CRNA), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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