Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1063842276
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
1001 18TH ST APT 11
BAKERSFIELD, CA 933014731
Phone: (404) 992-9217
Type: Mailing
2615 CHESTER AVE
BAKERSFIELD, CA 933012014
Phone: (661) 395-3000
Type: Location
600 East Blvd
Elkhart, IN 465142483
Phone: (574) 523-3193
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 $17.
Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.
Last reported payment date: 2024-01-24 • Largest payer in this snapshot: Acclarent, Inc ($17).
Total Amount
$17
General + Research + Ownership
Payments
1
Total payment records
General Amount
$17
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Acclarent, Inc | $17 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 93301)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AZ | |
| - | CA | |
| - | CA | |
| A N E S T H E S I O L O G Y | CA | |
| - | CA |
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