KEENE ARTHUR ROADMAN (DNP, CRNA) – Certified Registered Nurse Anesthetist, NPI 1114501178

KEENE ARTHUR ROADMAN (DNP, CRNA) is a healthcare provider. based in San diego, California. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials DNP, CRNA. They hold a License No. AP61223109 (WA). The NPI Number for KEENE ARTHUR ROADMAN (DNP, CRNA) is 1114501178

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
KEENE ARTHUR ROADMAN (DNP, CRNA)
NPI
1114501178
Phone
(800) 926-8273
Address
PO BOX 232410
Enumeration Date
6 May 2021
Last Update Date
27 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6263005300
Graduation Year
2021 (5 years ago)
PAC ID
5395143549
Group Practice PAC ID
3678720604
Professional Enrollment ID
I20230206001935
Address ID
CA910063183AR288XXAVEX528
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:5State licenses:2Digital endpointsOther names

2,456 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in CA

Provider Addresses for KEENE ARTHUR ROADMAN (DNP, CRNA)

  • PO BOX 232410

    SAN DIEGO, CA 921932410

    Phone: (800) 926-8273

    Type: Mailing

  • 200 W ARBOR DR

    SAN DIEGO, CA 921039000

    Phone: (800) 926-8273

    Type: Location

  • 3181 SW Sam Jackson Park Rd

    Portland, OR 972393011

    Phone: (503) 494-8311

    Type: Location

  • 2211 NE 139th St

    Vancouver, WA 986862742

    Phone: (360) 828-5396

    Type: Location

  • 400 NE Mother Joseph Pl

    Vancouver, WA 986643200

    Phone: (360) 514-2000

    Type: Location

  • 505 NE 87TH AVE STE 210

    VANCOUVER, WA 986641988

    Phone: (360) 828-5396

    Type: Mailing

  • 400 NE MOTHER JOSEPH PL

    VANCOUVER, WA 986643200

    Phone: (360) 514-2000

    Type: Location

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.

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: 2023-02-06

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
I20220322001370ICertified Registered Nurse Anesthetist (Crna)ORTBD
I20230206001935ICertified Registered Nurse Anesthetist (Crna)CATBD

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 endoscope2222$0
00811Anesthesia for other procedure on large bowel using an endoscope1515$0
View full utilization report →

Insurance plans in this area (ZIP 92193)

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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: 3678720604View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)CA
-CA
Certified Registered Nurse Anesthetist (Crna)WI
Certified Registered Nurse Anesthetist (Crna)FL
-CA
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)CA

Reviews

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Frequently asked questions

How do payers reference KEENE ARTHUR ROADMAN (DNP, CRNA)?
For KEENE ARTHUR ROADMAN (DNP, CRNA), use NPI 1114501178 as the unique 10-digit identifier.
Is KEENE ARTHUR ROADMAN (DNP, CRNA) shown as active in public data?
Registry records indicate KEENE ARTHUR ROADMAN (DNP, CRNA) maintains an active NPI.
What area of care is associated with KEENE ARTHUR ROADMAN (DNP, CRNA)?
KEENE ARTHUR ROADMAN (DNP, CRNA)'s record emphasizes Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for KEENE ARTHUR ROADMAN (DNP, CRNA)?
Travel planning: use San Diego, California as the reference point for KEENE ARTHUR ROADMAN (DNP, CRNA), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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