WILLIAM T. PROSSER (CRNA) – Certified Registered Nurse Anesthetist, NPI 1124004791
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for WILLIAM T. PROSSER (CRNA)
4150, V Street, Sacramento, Sacramento County, California, 95817, United States
PSSB-SUITE 1200, MED: ANESTHESIA
SACRAMENTO, CA 958171460
Phone: (916) 734-7985
Fax: (916) 734-2975
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $56.
Total Amount is formed as General ($56) + Research ($0) + Ownership ($0) = $56.
Last reported payment date: 2024-11-04 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($56).
Total Amount
$56
General + Research + Ownership
Payments
2
Total payment records
General Amount
$56
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Pacira Pharmaceuticals Incorporated | $56 |
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: 2021-11-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050408001152 | I | Certified Registered Nurse Anesthetist (Crna) | CA | TBD |
| I20140319000781 | I | Certified Registered Nurse Anesthetist (Crna) | OR | TBD |
| I20210208002902 | I | Certified Registered Nurse Anesthetist (Crna) | WA | TBD |
| I20211129000146 | I | Certified Registered Nurse Anesthetist (Crna) | MT | TBD |
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.
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 95817)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | OR | |
| Nurse Practitioner | OR | |
| - | OR | |
| Family Practice, Hospice/Palliative Care | OR | |
| General Surgery | OK | |
| - | OR | |
| Internal Medicine, Pediatric Medicine | OR | |
| Internal Medicine | OR | |
| Internal Medicine | CA | |
| - | OR |
Reviews
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