MR. DANNY JOE ROTH (CRNA, APN) – Certified Registered Nurse Anesthetist, NPI 1164504403
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
133 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in AK
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Provider Addresses for MR. DANNY JOE ROTH (CRNA, APN)
2460 TOPEKA DRIVE
NORTH POLE, AK 997052460
Phone: (423) 315-6338
Type: Mailing
Fairbanks Memorial Hospital, 1650, Cowles Street, South Fairbanks, Fairbanks, Fairbanks North Star, Alaska, 99701, United States
FAIRBANKS, AK 997015998
Phone: (907) 388-6852
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: 2023-04-18
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230418000936 | I | Certified Registered Nurse Anesthetist (Crna) | TN | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 22 | 22 | $0 |
| 01810 | Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand | 11 | 11 | $0 |
Insurance plans in this area (ZIP 99705)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | TN | |
| - | GA | |
| - | MO | |
| - | NC | |
| Certified Registered Nurse Anesthetist (Crna) | TN | |
| Certified Registered Nurse Anesthetist (Crna) | TN | |
| Certified Registered Nurse Anesthetist (Crna) | TN | |
| Certified Registered Nurse Anesthetist (Crna) | MS | |
| Certified Registered Nurse Anesthetist (Crna) | TN | |
| - | OK |
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