MR. NICHOLAS ARTHUR PERRENOUD (C.R.N.A.) – Certified Registered Nurse Anesthetist, NPI 1215005228

MR. NICHOLAS ARTHUR PERRENOUD (C.R.N.A.) is a healthcare provider. based in Redlands, California. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials C.R.N.A.. They hold a License No. 576417 (CA). The NPI Number for MR. NICHOLAS ARTHUR PERRENOUD (C.R.N.A.) is 1215005228

Main info

Male
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
MR. NICHOLAS ARTHUR PERRENOUD (C.R.N.A.)
NPI
1215005228
Phone
(909) 894-4861
Address
943 Walnut Ave
Enumeration Date
30 November 2006
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9095585174
Graduation Year
2007 (19 years ago)
PAC ID
0345329785
Group Practice PAC ID
1153227814
Professional Enrollment ID
I20080509000310
Address ID
CA923734308RE26780RDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

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

Provider Addresses for MR. NICHOLAS ARTHUR PERRENOUD (C.R.N.A.)

  • 943 Walnut Ave

    Redlands, CA 923736633

    Phone: (909) 894-4861

    Type: Location

  • 42718 SETTLERS RDG

    MURRIETA, CA 925623313

    Phone: (909) 800-2686

    Type: Mailing

  • 11234 ANDERSON ST RM A504

    LOMA LINDA, CA 923542804

    Phone: (909) 558-7811

    Fax: (909) 558-0180

    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: 2008-05-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20080509000310ICertified 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
01992Anesthesia for nerve block and injection procedure, prone position1413$0
View full utilization report →

Insurance plans in this area (ZIP 92373)

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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: 1153227814View full group profile
NameSpecialtyState
-CA
-CA
-CA
O B S T E T R I C S/ G Y N E C O L O G YCA
Physician AssistantCA
Certified Registered Nurse Anesthetist (Crna)CA
Critical Care (Intensivists), General SurgeryCA
Surgical Oncology, General SurgeryIL
A N E S T H E S I O L O G YCA
Certified Registered Nurse Anesthetist (Crna)CA

Reviews

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Frequently asked questions

How is MR. NICHOLAS ARTHUR PERRENOUD (C.R.N.A.) identified in CMS data?
CMS-hosted NPPES data lists MR. NICHOLAS ARTHUR PERRENOUD (C.R.N.A.) with NPI 1215005228.
Does the file indicate MR. NICHOLAS ARTHUR PERRENOUD (C.R.N.A.) is practicing under active NPI?
Directory data currently reports MR. NICHOLAS ARTHUR PERRENOUD (C.R.N.A.) as active.
What is MR. NICHOLAS ARTHUR PERRENOUD (C.R.N.A.)'s primary classification?
Certified Registered Nurse Anesthetist is the headline specialty for MR. NICHOLAS ARTHUR PERRENOUD (C.R.N.A.) here. Clinical services aligned with this taxonomy classification.
Where is MR. NICHOLAS ARTHUR PERRENOUD (C.R.N.A.) based?
MR. NICHOLAS ARTHUR PERRENOUD (C.R.N.A.) is tied to Redlands, California in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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