MR. RICHARD E FENN (CRNA) – Certified Registered Nurse Anesthetist, NPI 1164782769

MR. RICHARD E FENN (CRNA) is a healthcare provider. based in Canon city, Colorado. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 204743 (CO). The NPI Number for MR. RICHARD E FENN (CRNA) is 1164782769

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
MR. RICHARD E FENN (CRNA)
NPI
1164782769
Phone
(719) 285-2434
Address
1338 PHAY AVE
Enumeration Date
17 May 2012
Last Update Date
23 November 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7196361201
Graduation Year
2012 (14 years ago)
PAC ID
5698930832
Group Practice PAC ID
2961484365
Professional Enrollment ID
I20120713000108
Address ID
CO809076262CO2920XAVEX415
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

803 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in CO

Provider Addresses for MR. RICHARD E FENN (CRNA)

  • 1338 PHAY AVE

    CANON CITY, CO 812122302

    Phone: (719) 285-2434

    Fax: (719) 285-2101

    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 $34.

Total Amount is formed as General ($34) + Research ($0) + Ownership ($0) = $34.

Last reported payment date: 2024-07-23 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($20).

Total Amount

$34

General + Research + Ownership

Payments

2

Total payment records

General Amount

$34

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-23

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: 2012-07-13

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
I20120713000108ICertified Registered Nurse Anesthetist (Crna)COTBD

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
00811Anesthesia for other procedure on large bowel using an endoscope3131$0
00812Anesthesia for exam of colon using an endoscope3131$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2929$0
00813Anesthesia for procedure on small and large bowel using an endoscope2020$0
View full utilization report →

Insurance plans in this area (ZIP 81212)

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Provider's Procedures

MR. RICHARD E FENN (CRNA) performs procedures in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETCO01402Anesthesia for open or endoscopic total knee joint replacement1212
CERTIFIED REGISTERED NURSE ANESTHETCO76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle3736

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: 2961484365View full group profile
NameSpecialtyState
Internal Medicine, GastroenterologyCO
Gastroenterology, Internal MedicineCO
G A S T R O E N T E R O L O G YCO
Certified Registered Nurse Anesthetist (Crna)TX
Physician AssistantIL
Certified Registered Nurse Anesthetist (Crna)CO
Certified Registered Nurse Anesthetist (Crna)TX
-CO
Certified Registered Nurse Anesthetist (Crna)NC
G A S T R O E N T E R O L O G YCO

Reviews

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Frequently asked questions

Does MR. RICHARD E FENN (CRNA) have a public NPI I can cite?
Public records show MR. RICHARD E FENN (CRNA) under NPI 1164782769.
Should I treat MR. RICHARD E FENN (CRNA) as an active provider?
Patients and plans typically see MR. RICHARD E FENN (CRNA) as active in the national extract.
How should patients interpret MR. RICHARD E FENN (CRNA)'s specialty?
The extract shows Certified Registered Nurse Anesthetist for MR. RICHARD E FENN (CRNA). Clinical services aligned with this taxonomy classification.
Can patients visit MR. RICHARD E FENN (CRNA) in Canon City, Colorado?
For routing, start with Canon City, Colorado for MR. RICHARD E FENN (CRNA), then verify phone and hours locally.
Can I export MR. RICHARD E FENN (CRNA)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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