TAMMY NODLER (CRNA) – Certified Registered Nurse Anesthetist, NPI 1750540902

TAMMY NODLER (CRNA) is a healthcare provider. based in Rancho cucamonga, California. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 3651 (CA). The NPI Number for TAMMY NODLER (CRNA) is 1750540902

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
TAMMY NODLER (CRNA)
NPI
1750540902
Phone
(513) 309-6980
Address
11660 CHURCH ST
Enumeration Date
3 June 2008
Last Update Date
3 June 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8009268273
Graduation Year
2007 (19 years ago)
PAC ID
4688732720
Group Practice PAC ID
3577476761
Professional Enrollment ID
I20081018000236
Address ID
CA921039000SA200XXDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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

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Provider Addresses for TAMMY NODLER (CRNA)

  • Church Street, Rancho Cucamonga, San Bernardino County, California, 91729, United States

    APT 437

    RANCHO CUCAMONGA, CA 91730

    Phone: (513) 309-6980

    Type: Mailing

  • 400, Pepper Avenue, West Colton, Colton, San Bernardino County, California, 92324, United States

    COLTON, CA 92324

    Phone: (513) 309-6980

    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: 2008-10-18

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
I20081018000236ICertified 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 91730)

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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: 3577476761View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to TAMMY NODLER (CRNA)?
NPI 1750540902 is assigned to TAMMY NODLER (CRNA) under the national enumeration system.
Is TAMMY NODLER (CRNA)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is TAMMY NODLER (CRNA)?
The page reflects Certified Registered Nurse Anesthetist for TAMMY NODLER (CRNA). Clinical services aligned with this taxonomy classification.
Does TAMMY NODLER (CRNA) practice in California?
You will see Rancho Cucamonga, California on file for TAMMY NODLER (CRNA) alongside any extra practice locations.
How can I contact TAMMY NODLER (CRNA)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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