CHARLES GERARD FAHRENHOLTZ (DNP,CRNA) – Certified Registered Nurse Anesthetist, NPI 1073179735

CHARLES GERARD FAHRENHOLTZ (DNP,CRNA) is a healthcare provider. based in Windermere, Florida. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials DNP,CRNA. They hold a License No. 9510615 (LA). The NPI Number for CHARLES GERARD FAHRENHOLTZ (DNP,CRNA) is 1073179735

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
CHARLES GERARD FAHRENHOLTZ (DNP,CRNA)
NPI
1073179735
Phone
(504) 818-4743
Address
10043 GRAND CANAL DR UNIT 17301
Enumeration Date
17 May 2019
Last Update Date
12 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9549395000
Graduation Year
2019 (7 years ago)
PAC ID
3779813670
Group Practice PAC ID
7416928536
Professional Enrollment ID
I20190919000180
Address ID
FL328062031OR83XXXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:7State licenses:2Digital endpointsOther names

5,359 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in FL

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Provider Addresses for CHARLES GERARD FAHRENHOLTZ (DNP,CRNA)

  • 10043 GRAND CANAL DR UNIT 17301

    WINDERMERE, FL 347865863

    Phone: (504) 818-4743

    Type: Mailing

  • Osceola Regional Medical Center, 700, Oak Street, Kissimmee, Osceola County, Florida, 34741, United States

    KISSIMMEE, FL 347414924

    Phone: (407) 846-2266

    Type: Location

  • 700 W Oak St

    Kissimmee, FL 347414924

    Phone: (407) 846-2266

    Type: Location

  • 1600 SW ARCHER RD

    GAINESVILLE, FL 326103003

    Phone: (352) 273-8610

    Fax: (352) 273-8612

    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: 2019-09-19

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
I20190919000180ICertified Registered Nurse Anesthetist (Crna)FLTBD

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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope107104$0
00732Anesthesia for procedure on gallbladder, pancreas, or liver using an endoscope2221$0
00520Anesthesia for other closed procedure on chest2020$0
00811Anesthesia for other procedure on large bowel using an endoscope2020$0
00812Anesthesia for exam of colon using an endoscope1111$0
View full utilization report →

Insurance plans in this area (ZIP 34786)

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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: 7416928536View full group profile
NameSpecialtyState
-FL
Certified Registered Nurse Anesthetist (Crna)NH
A N E S T H E S I O L O G YFL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
A N E S T H E S I O L O G YFL
A N E S T H E S I O L O G YFL
Certified Registered Nurse Anesthetist (Crna)FL
A N E S T H E S I O L O G YND
A N E S T H E S I O L O G YMI

Reviews

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Frequently asked questions

Does CHARLES GERARD FAHRENHOLTZ (DNP,CRNA) have a public NPI I can cite?
Public records show CHARLES GERARD FAHRENHOLTZ (DNP,CRNA) under NPI 1073179735.
Is CHARLES GERARD FAHRENHOLTZ (DNP,CRNA)'s NPI status active today?
Active status means CHARLES GERARD FAHRENHOLTZ (DNP,CRNA)'s NPI record is not deactivated in the public file.
How should patients interpret CHARLES GERARD FAHRENHOLTZ (DNP,CRNA)'s specialty?
The extract shows Certified Registered Nurse Anesthetist for CHARLES GERARD FAHRENHOLTZ (DNP,CRNA). Clinical services aligned with this taxonomy classification.
What geographic area is tied to CHARLES GERARD FAHRENHOLTZ (DNP,CRNA)?
CHARLES GERARD FAHRENHOLTZ (DNP,CRNA) is associated with Windermere, Florida in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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