KYLE WILLIAM CRISSMAN (CRNA) – Certified Registered Nurse Anesthetist, NPI 1639730971

KYLE WILLIAM CRISSMAN (CRNA) is a healthcare provider. based in Vacaville, California. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 742473 (TX). The NPI Number for KYLE WILLIAM CRISSMAN (CRNA) is 1639730971

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
KYLE WILLIAM CRISSMAN (CRNA)
NPI
1639730971
Phone
Not provided
Address
531 STAR LILLY DR
Enumeration Date
26 June 2019
Last Update Date
24 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2103582015
Graduation Year
2020 (6 years ago)
PAC ID
7618323460
Group Practice PAC ID
7719979509
Professional Enrollment ID
I20231030004001
Address ID
TX782294402SA4502XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:6State licenses:2Digital endpointsOther names

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

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Provider Addresses for KYLE WILLIAM CRISSMAN (CRNA)

  • 531, Star Lilly Drive, Vacaville, Solano County, California, 95687, United States

    VACAVILLE, CA 956877778

    Phone:

    Type: Mailing

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

    FAIRFIELD, CA 945351809

    Phone: (832) 865-8533

    Type: Location

  • 4502 Medical Dr

    San Antonio, TX 782294402

    Phone: (210) 358-4000

    Type: Location

  • 30184 BRIDLEGATE DR

    BULVERDE, TX 781634130

    Phone: (832) 865-8533

    Type: Mailing

  • 3551 ROGER BROOKE DR

    JBSA FT SAM HOUSTON, TX 782344504

    Phone: (832) 865-8533

    Type: Location

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 $40.

Total Amount is formed as General ($40) + Research ($0) + Ownership ($0) = $40.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($40).

Total Amount

$40

General + Research + Ownership

Payments

2

Total payment records

General Amount

$40

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

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: 2023-10-30

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
I20231030004001ICertified Registered Nurse Anesthetist (Crna)TXTBD

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 95687)

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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: 7719979509View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TX
Nurse PractitionerTX
Family PracticeTX
Hospitalist, Internal MedicineTX
-TX
-TX
Interventional Cardiology, Internal Medicine, Cardiovascular Disease (Cardiology)TX
A N E S T H E S I O L O G YTX
A N E S T H E S I O L O G YTX
Pediatric Medicine, Cardiovascular Disease (Cardiology)TX

Reviews

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Frequently asked questions

Can I use this page to confirm KYLE WILLIAM CRISSMAN (CRNA)'s NPI?
Yes. KYLE WILLIAM CRISSMAN (CRNA) is listed with NPI 1639730971 in the public NPI dataset.
Is KYLE WILLIAM CRISSMAN (CRNA) listed as active for patients and plans?
The listing shows KYLE WILLIAM CRISSMAN (CRNA) as active in the NPI system.
What healthcare role does KYLE WILLIAM CRISSMAN (CRNA) hold?
Scheduling teams often label KYLE WILLIAM CRISSMAN (CRNA) under Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What address line appears for KYLE WILLIAM CRISSMAN (CRNA)?
KYLE WILLIAM CRISSMAN (CRNA)'s geographic hint is Vacaville, California in our summary view.
Why does KYLE WILLIAM CRISSMAN (CRNA) have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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