SUSAN M HERAVI (CRNA) – Certified Registered Nurse Anesthetist, NPI 1306905013

SUSAN M HERAVI (CRNA) is a healthcare provider. based in Anaheim, California. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. NA2219 (CA). The NPI Number for SUSAN M HERAVI (CRNA) is 1306905013

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN M HERAVI (CRNA)
NPI
1306905013
Phone
(888) 988-2800
Address
441 N LAKEVIEW AVE
Enumeration Date
8 December 2006
Last Update Date
15 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9499325000
Graduation Year
1995 (31 years ago)
PAC ID
6901848316
Group Practice PAC ID
6002729175
Professional Enrollment ID
I20050525001129
Address ID
CA926183734IR6670XPKWY300

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

2,470 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in CA

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Provider Addresses for SUSAN M HERAVI (CRNA)

  • Lakeview Avenue, Peralta Hills, Anaheim, Orange County, California, 92807, United States

    ANAHEIM, CA 928073028

    Phone: (888) 988-2800

    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 $161.

Total Amount is formed as General ($161) + Research ($0) + Ownership ($0) = $161.

Last reported payment date: 2024-08-26 • Largest payer in this snapshot: Fisher & Paykel Healthcare Inc ($137).

Total Amount

$161

General + Research + Ownership

Payments

2

Total payment records

General Amount

$161

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-26

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: 2005-05-25

PECOS data refreshed: 2026-06-15

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
I20050525001129ICertified 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.

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

Insurance plans in this area (ZIP 92807)

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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: 6002729175View full group profile
NameSpecialtyState
U R O L O G YOH
Nurse PractitionerCA
Internal MedicineCA
Internal MedicineCA
Physician AssistantCA
N E U R O L O G YCA
Internal MedicineCA
O B S T E T R I C S/ G Y N E C O L O G YCA
Family Practice, Sports MedicineCA
Internal MedicineNY

Reviews

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Frequently asked questions

How do I look up SUSAN M HERAVI (CRNA) by NPI?
Use NPI 1306905013 when you need to reference SUSAN M HERAVI (CRNA) in forms, claims, or directories.
Does this profile mean SUSAN M HERAVI (CRNA) is currently active?
Yes — SUSAN M HERAVI (CRNA) appears active in the national provider directory.
What kind of provider is SUSAN M HERAVI (CRNA)?
The page reflects Certified Registered Nurse Anesthetist for SUSAN M HERAVI (CRNA). Clinical services aligned with this taxonomy classification.
What location metadata exists for SUSAN M HERAVI (CRNA)?
The page summarizes Anaheim, California for SUSAN M HERAVI (CRNA); expand the address list for detail.
How can I contact SUSAN M HERAVI (CRNA)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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