SUSAN WIGETMAN (CRNA) – Certified Registered Nurse Anesthetist, NPI 1487979977
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,060 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in AZ
Provider Addresses for SUSAN WIGETMAN (CRNA)
77 CALLE PORTAL STE B260
SIERRA VISTA, AZ 856352982
Phone: (520) 226-4338
Mailing address matches the actual address.
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.
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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: 2026-01-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 6 Medicare enrollment records; no due dates published yet.
Enrollment records
6
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 |
|---|---|---|---|---|
| I20140923002259 | I | Certified Registered Nurse Anesthetist (Crna) | AZ | TBD |
| I20201009000790 | I | Certified Registered Nurse Anesthetist (Crna) | WY | TBD |
| I20220301000320 | I | Certified Registered Nurse Anesthetist (Crna) | IL | TBD |
| I20220625000325 | I | Certified Registered Nurse Anesthetist (Crna) | TX | TBD |
| I20250729004649 | I | Certified Registered Nurse Anesthetist (Crna) | FL | TBD |
| I20260130001586 | I | Certified Registered Nurse Anesthetist (Crna) | SD | 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 | 26 | 26 | $0 |
Insurance plans in this area (ZIP 85635)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CERTIFIED REGISTERED NURSE ANESTHET | AZ | 00790 | Anesthesia for procedure in upper abdomen including use of an endoscope | 15 | 15 |
| CERTIFIED REGISTERED NURSE ANESTHET | AZ | 01402 | Anesthesia for open or endoscopic total knee joint replacement | 17 | 16 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Radiation Oncology | IL | |
| - | WY | |
| Internal Medicine | IL | |
| Emergency Medicine | ND | |
| - | WY | |
| - | WY | |
| Clinical Social Worker | WY | |
| Orthopedic Surgery | WY | |
| Nurse Practitioner | WY | |
| Certified Registered Nurse Anesthetist (Crna) | WY |
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