MR. LORREN D ANDERSON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1114588456

MR. LORREN D ANDERSON (CRNA) is a healthcare provider. based in Fairfield, California. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 62836 (NE). The NPI Number for MR. LORREN D ANDERSON (CRNA) is 1114588456

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
MR. LORREN D ANDERSON (CRNA)
NPI
1114588456
Phone
(707) 423-5277
Address
101 BODIN CIR
Enumeration Date
26 June 2019
Last Update Date
9 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7195844921
Graduation Year
2020 (6 years ago)
PAC ID
0749641884
Group Practice PAC ID
9638208549
Professional Enrollment ID
I20240725003007
Address ID
CO810032745PU400XXSTXX400

Contacts

Other Endpoint
NA
Other Endpoint
Na
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness85
Years active:6State licenses:4Other namesUpdated within 12 months

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

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Provider Addresses for MR. LORREN D ANDERSON (CRNA)

  • 101, Bodin Circle, Fairfield, Solano County, California, 94535, United States

    FAIRFIELD, CA 945351809

    Phone: (707) 423-5277

    Type: Location

  • 514, Ruby Drive, Vacaville, Solano County, California, 95687, United States

    VACAVILLE, CA 956877716

    Phone: (301) 944-4697

    Type: Mailing

  • 4102 PINION DR

    USAF ACADEMY, CO 808402502

    Phone: (719) 684-5962

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $92.

Total Amount is formed as General ($92) + Research ($0) + Ownership ($0) = $92.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Kiniksa Pharmaceuticals International, plc ($34).

Total Amount

$92

General + Research + Ownership

Payments

3

Total payment records

General Amount

$92

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

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: 2024-07-25

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
I20230804001879ICertified Registered Nurse Anesthetist (Crna)CATBD
I20240725003007ICertified Registered Nurse Anesthetist (Crna)COTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 94535)

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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: 9638208549View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for MR. LORREN D ANDERSON (CRNA)?
MR. LORREN D ANDERSON (CRNA) — NPI 1114588456 — is the standard way to identify this listing.
Is MR. LORREN D ANDERSON (CRNA) still practicing?
MR. LORREN D ANDERSON (CRNA) is currently listed as active in the public NPI registry.
What is MR. LORREN D ANDERSON (CRNA)'s primary classification?
Certified Registered Nurse Anesthetist is the headline specialty for MR. LORREN D ANDERSON (CRNA) here. Clinical services aligned with this taxonomy classification.
Where should I expect MR. LORREN D ANDERSON (CRNA) on a map?
Expect Fairfield, California as a primary anchor for MR. LORREN D ANDERSON (CRNA) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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