MR. DYLAN EDEN RAINWATER (CRNA) – Certified Registered Nurse Anesthetist, NPI 1063679645

MR. DYLAN EDEN RAINWATER (CRNA) is a healthcare provider. based in Little rock, Arkansas. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. C002702 (AR). The NPI Number for MR. DYLAN EDEN RAINWATER (CRNA) is 1063679645

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
MR. DYLAN EDEN RAINWATER (CRNA)
NPI
1063679645
Phone
(501) 664-4532
Address
500 S UNIVERSITY AVE STE 500
Enumeration Date
21 May 2008
Last Update Date
13 April 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4794631000
Graduation Year
2008 (18 years ago)
PAC ID
1759452576
Group Practice PAC ID
6406077460
Professional Enrollment ID
I20080620000480
Address ID
AR727034424FA3215XBLVD500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

716 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in AR

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Provider Addresses for MR. DYLAN EDEN RAINWATER (CRNA)

  • 500 S UNIVERSITY AVE STE 500

    LITTLE ROCK, AR 722055307

    Phone: (501) 664-4532

    Fax: (501) 663-4335

    Type: Mailing

  • CHI St. Vincent Infirmary, 2, Saint Vincent Circle, University Park, Little Rock, Pulaski County, Arkansas, 72205, United States

    LITTLE ROCK, AR 722055423

    Phone: (501) 664-4532

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $59.

Total Amount is formed as General ($59) + Research ($0) + Ownership ($0) = $59.

Last reported payment date: 2024-08-19 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($59).

Total Amount

$59

General + Research + Ownership

Payments

1

Total payment records

General Amount

$59

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-19

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: 2008-06-20

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
I20080620000480ICertified Registered Nurse Anesthetist (Crna)ARTBD

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 endoscope3837$0
36620Insertion of artery tube for blood sampling or infusion through skin2323$0
00811Anesthesia for other procedure on large bowel using an endoscope2121$0
76942Ultrasonic guidance for needle placement2019$0
00910Anesthesia for other procedure on urinary system through urethra1717$0
View full utilization report →

Insurance plans in this area (ZIP 72205)

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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: 6406077460View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)AR
Certified Registered Nurse Anesthetist (Crna)AR
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)AR
A N E S T H E S I O L O G YAR
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)AR
-AR
-OK

Reviews

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Frequently asked questions

What NPI should I save for MR. DYLAN EDEN RAINWATER (CRNA)?
Save NPI 1063679645 if you need a stable reference for MR. DYLAN EDEN RAINWATER (CRNA).
Is MR. DYLAN EDEN RAINWATER (CRNA)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does MR. DYLAN EDEN RAINWATER (CRNA) treat or focus on?
Patients typically see MR. DYLAN EDEN RAINWATER (CRNA) under the specialty Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where does public data place MR. DYLAN EDEN RAINWATER (CRNA)?
The snapshot lists Little Rock, Arkansas for MR. DYLAN EDEN RAINWATER (CRNA); download NPPES for the complete set.
How can I contact MR. DYLAN EDEN RAINWATER (CRNA)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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