CARLOS X CONDADO (CRNA) – Certified Registered Nurse Anesthetist, NPI 1205028768
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,144 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in WI
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Provider Addresses for CARLOS X CONDADO (CRNA)
2703, Crooked Vine Court, Colorado Springs, El Paso County, Colorado, 80921, United States
COLORADO SPRINGS, CO 809212090
Phone: (715) 490-2186
Type: Mailing
Bellin Hospital Green Bay, 744, South Webster Avenue, Astor, Green Bay, Brown County, Wisconsin, 54305, United States
GREEN BAY, WI 543013505
Phone: (920) 445-7210
Type: Location
9576 HWY 70
MINOCQUA, WI 545489067
Phone: (715) 358-1000
Type: Mailing
9576 HIGHWAY 70
MINOCQUA, WI 545489067
Phone: (715) 358-1000
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: 2025-09-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060313000396 | I | Certified Registered Nurse Anesthetist (Crna) | WI | TBD |
| I20160823000843 | I | Certified Registered Nurse Anesthetist (Crna) | MI | TBD |
| I20250929002292 | I | Certified Registered Nurse Anesthetist (Crna) | CA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 16 | 16 | $0 |
Insurance plans in this area (ZIP 80921)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CERTIFIED REGISTERED NURSE ANESTHET | WI | 01402 | Anesthesia for open or endoscopic total knee joint replacement | 11 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | MI | |
| Emergency Medicine, Pulmonary Disease, Hospice/Palliative Care, Hospitalist, Sleep Medicine, Internal Medicine | GA | |
| Diagnostic Radiology | MI | |
| Internal Medicine | AZ | |
| General Surgery | MI | |
| Physician Assistant | MI | |
| Nurse Practitioner | MI | |
| Internal Medicine | WI | |
| - | MI | |
| Physician Assistant | MI |
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