Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1093834855
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
7956 VAUGHN RD
#165
MONTGOMERY, AL 361166625
Phone: (334) 396-6930
Type: Mailing
315 W HICKORY ST
SYLACAUGA, AL 351502913
Phone: (334) 396-6930
Fax: (334) 279-1660
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $35.
Total Amount is formed as General ($35) + Research ($0) + Ownership ($0) = $35.
Last reported payment date: 2023-11-14 • Largest payer in this snapshot: ABBVIE INC. ($19).
Total Amount
$35
General + Research + Ownership
Payments
2
Total payment records
General Amount
$35
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $19 |
| Braintree Laboratories, Inc. | $16 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00813 | Anesthesia for procedure on small and large bowel using an endoscope | 44 | 44 | $0 |
| 00142 | Anesthesia for lens surgery | 40 | 36 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 22 | 22 | $0 |
Insurance plans in this area (ZIP 36116)
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Provider's Procedures
Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | AL | |
| - | AL | |
| Internal Medicine | AL | |
| Family Practice | AL | |
| Nurse Practitioner | AL | |
| Anesthesiology Assistant | AL | |
| H E M A T O L O G Y/ O N C O L O G Y | AL | |
| A N E S T H E S I O L O G Y | AL | |
| Emergency Medicine | AL | |
| Family Practice | AL |
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