THAO NGOC DEBELEN (CRNA) – Certified Registered Nurse Anesthetist, NPI 1154693075
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
5,359 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in FL
Provider Addresses for THAO NGOC DEBELEN (CRNA)
2021 Kingsley Ave
Suite 105
Orange Park, FL 320735174
Phone: (904) 276-5400
Fax: (904) 276-5430
Type: Location
4500 SAN PABLO RD S
JACKSONVILLE, FL 322241865
Phone: (904) 953-2000
Type: Mailing
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 $29.
Total Amount is formed as General ($29) + Research ($0) + Ownership ($0) = $29.
Last reported payment date: 2024-05-02 • Largest payer in this snapshot: Intercept Pharmaceuticals, Inc. ($15).
Total Amount
$29
General + Research + Ownership
Payments
2
Total payment records
General Amount
$29
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intercept Pharmaceuticals, Inc. | $15 |
| Janssen Biotech, Inc. | $14 |
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: 2012-08-17
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120817000237 | I | Certified Registered Nurse Anesthetist (Crna) | FL | 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 | 149 | 149 | $0 |
| 00813 | Anesthesia for procedure on small and large bowel using an endoscope | 85 | 85 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 84 | 84 | $0 |
| 00812 | Anesthesia for exam of colon using an endoscope | 46 | 46 | $0 |
Insurance plans in this area (ZIP 32073)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Certified Registered Nurse Anesthetist (Crna) | CA | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| - | FL | |
| - | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| - | VA | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Certified Registered Nurse Anesthetist (Crna) | TX |
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