AMANDA LYNN RAE (CRNA) – Certified Registered Nurse Anesthetist, NPI 1013513167

AMANDA LYNN RAE (CRNA) is a healthcare provider. based in Santa clara, California. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 0024184271 (VA). The NPI Number for AMANDA LYNN RAE (CRNA) is 1013513167

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA LYNN RAE (CRNA)
NPI
1013513167
Phone
(410) 591-3500
Address
700 Lawrence Expy
Enumeration Date
4 December 2020
Last Update Date
1 May 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5404984000
Graduation Year
2020 (6 years ago)
PAC ID
8820477805
Group Practice PAC ID
5890739205
Professional Enrollment ID
I20221206001601
Address ID
VA224087762FR4600XPKWY300

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness95
Years active:5State licenses:2Other names

2,455 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in CA

Provider Addresses for AMANDA LYNN RAE (CRNA)

  • 700 Lawrence Expy

    Santa Clara, CA 950515173

    Phone: (410) 591-3500

    Type: Location

  • 101 Hospital Center Blvd

    Stafford, VA 225546200

    Phone: (540) 741-7614

    Type: Location

  • 1201 Sam Perry Blvd Ste 101

    Fredericksburg, VA 224014490

    Phone: (540) 741-7614

    Type: Location

  • 4160 WOODFORD DR

    SAN JOSE, CA 951243741

    Phone: (410) 591-3500

    Type: Mailing

  • 700 LAWRENCE EXPY

    SANTA CLARA, CA 950515173

    Phone: (410) 591-3500

    Type: Location

  • 1340 CENTRAL PARK BLVD STE 100

    FREDERICKSBURG, VA 224014940

    Phone: (540) 741-4254

    Type: Mailing

  • 1001 SAM PERRY BLVD

    FREDERICKSBURG, VA 224014453

    Phone: (540) 741-7614

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2025-05-29

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
I20221206001601ICertified Registered Nurse Anesthetist (Crna)VATBD
I20250529002587ICertified Registered Nurse Anesthetist (Crna)DCTBD

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
01922Anesthesia for x-ray or radiation therapy1414$0
01402Anesthesia for procedure for total knee joint replacement1313$0
01810Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand1111$0
View full utilization report →

Insurance plans in this area (ZIP 95051)

Loading plans...

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: 5890739205View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YMI
A N E S T H E S I O L O G YMD
A N E S T H E S I O L O G YNY
A N E S T H E S I O L O G YDC
Certified Registered Nurse Anesthetist (Crna)NC
Certified Registered Nurse Anesthetist (Crna)VA
Certified Registered Nurse Anesthetist (Crna)NC
Certified Registered Nurse Anesthetist (Crna)NY
Certified Registered Nurse Anesthetist (Crna)VA
A N E S T H E S I O L O G YMI

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I use this page to confirm AMANDA LYNN RAE (CRNA)'s NPI?
Yes. AMANDA LYNN RAE (CRNA) is listed with NPI 1013513167 in the public NPI dataset.
Is AMANDA LYNN RAE (CRNA) still practicing?
AMANDA LYNN RAE (CRNA) is currently listed as active in the public NPI registry.
What healthcare role does AMANDA LYNN RAE (CRNA) hold?
Scheduling teams often label AMANDA LYNN RAE (CRNA) under Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What area does AMANDA LYNN RAE (CRNA) serve?
AMANDA LYNN RAE (CRNA)'s listing highlights Santa Clara, California; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.