REATHA W. BALLARD (CRNA) – Certified Registered Nurse Anesthetist, NPI 1336106616
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for REATHA W. BALLARD (CRNA)
1414 GOLDEN SPRINGSROAD
#305
ANNISTON, AL 36207
Phone: (256) 239-0569
Type: Mailing
1414 Golden Springs Rd
#305
Anniston, AL 362076924
Phone: (256) 239-0569
Type: Location
LincolnHealth - Miles Campus, 35, Miles Street, Damariscotta, Lincoln County, Maine, 04543, United States
DAMARISCOTTA, ME 045434047
Phone: (207) 563-4904
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2021-03-31
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040426001132 | I | Certified Registered Nurse Anesthetist (Crna) | AL | TBD |
| I20210331002468 | I | Certified Registered Nurse Anesthetist (Crna) | GA | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 36207)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CERTIFIED REGISTERED NURSE ANESTHET | AL | 00142 | Anesthesia for lens surgery | 22 | 22 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | AL | |
| - | GA | |
| Certified Registered Nurse Anesthetist (Crna) | AL | |
| - | GA | |
| Anesthesiology, Pain Management | FL | |
| - | AL | |
| Certified Registered Nurse Anesthetist (Crna) | AL | |
| Certified Registered Nurse Anesthetist (Crna) | AL | |
| A N E S T H E S I O L O G Y | IN | |
| Certified Registered Nurse Anesthetist (Crna) | AL |
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