MR. MICHAEL A. WALTERMYER (CRNA) – Certified Registered Nurse Anesthetist, NPI 1720519960

MR. MICHAEL A. WALTERMYER (CRNA) is a healthcare provider. based in Bentonville, Arkansas. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 214699 (AR). The NPI Number for MR. MICHAEL A. WALTERMYER (CRNA) is 1720519960

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
MR. MICHAEL A. WALTERMYER (CRNA)
NPI
1720519960
Phone
(901) 734-4305
Address
307 S WALTON BLVD APT 205
Enumeration Date
21 March 2017
Last Update Date
23 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4793365150
Graduation Year
2017 (9 years ago)
PAC ID
2466719646
Group Practice PAC ID
9537514385
Professional Enrollment ID
I20210422002467
Address ID
AR727588713RO3721XDRXX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness85
Years active:9State licenses:1Digital endpointsOther names

716 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in AR

Provider Addresses for MR. MICHAEL A. WALTERMYER (CRNA)

  • 307 S WALTON BLVD APT 205

    BENTONVILLE, AR 727122099

    Phone: (901) 734-4305

    Type: Mailing

  • West 110th Street, Overland Park, Johnson County, Kansas, 66210, United States

    OVERLAND PARK, KS 662102126

    Phone: (913) 428-2900

    Fax: (913) 428-2951

    Type: Mailing

  • Research Medical Center, 2316, East Meyer Boulevard, Blenheim, Kansas City, Jackson County, Missouri, 64132, United States

    KANSAS CITY, MO 64132

    Phone: (913) 428-2900

    Fax: (913) 428-2951

    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 $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2024-06-19 • Largest payer in this snapshot: Midsouth Orthopedics Inc. ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-19

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: 2021-04-22

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181023000436ICertified Registered Nurse Anesthetist (Crna)KSTBD
I20210422002467ICertified 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
00811Anesthesia for other procedure on large bowel using an endoscope2727$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1818$0
00812Anesthesia for exam of colon using an endoscope1717$0
01922Anesthesia for x-ray or radiation therapy1111$0
View full utilization report →

Insurance plans in this area (ZIP 72712)

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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: 9537514385View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)AR
Certified Registered Nurse Anesthetist (Crna)AR
Certified Registered Nurse Anesthetist (Crna)AR
Certified Registered Nurse Anesthetist (Crna)AR
Certified Registered Nurse Anesthetist (Crna)AR
Certified Registered Nurse Anesthetist (Crna)AR
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)AR
Certified Registered Nurse Anesthetist (Crna)AR

Reviews

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Frequently asked questions

What federal number belongs to MR. MICHAEL A. WALTERMYER (CRNA)?
The federal identifier for MR. MICHAEL A. WALTERMYER (CRNA) is NPI 1720519960.
Is MR. MICHAEL A. WALTERMYER (CRNA)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does MR. MICHAEL A. WALTERMYER (CRNA) treat or focus on?
Patients typically see MR. MICHAEL A. WALTERMYER (CRNA) under the specialty Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where is MR. MICHAEL A. WALTERMYER (CRNA)'s primary listing?
We display Bentonville, Arkansas because that is what the record indicates for MR. MICHAEL A. WALTERMYER (CRNA).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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