GEORGE T DEREFAKA (CRNA) – Certified Registered Nurse Anesthetist, NPI 1386074474
Certified Registered Nurse Anesthetist
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Profile Insights
NPPES metrics only — not quality of care.
1,775 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MO
Provider Addresses for GEORGE T DEREFAKA (CRNA)
3601 W COMMERCIAL BLVD
SUITE 5
FT LAUDERDALE, FL 333093300
Phone: (954) 703-2931
Fax: (954) 585-0297
Type: Mailing
3015 N Ballas Rd
Saint Louis, MO 631312329
Phone: (314) 996-5000
Type: Location
3601 W COMMERCIAL BLVD STE 5
FT LAUDERDALE, FL 333093392
Phone: (954) 703-2931
Fax: (954) 585-0297
Type: Mailing
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: 2025-11-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 8 Medicare enrollment records; no due dates published yet.
Enrollment records
8
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 |
|---|---|---|---|---|
| I20140915000424 | I | Certified Registered Nurse Anesthetist (Crna) | FL | TBD |
| I20200116000625 | I | Certified Registered Nurse Anesthetist (Crna) | KS | TBD |
| I20230509001956 | I | Certified Registered Nurse Anesthetist (Crna) | GA | TBD |
| I20240417003479 | I | Certified Registered Nurse Anesthetist (Crna) | IN | TBD |
| I20240830000278 | I | Certified Registered Nurse Anesthetist (Crna) | MI | TBD |
| I20250304000441 | I | Certified Registered Nurse Anesthetist (Crna) | NY | TBD |
| I20250527000352 | I | Certified Registered Nurse Anesthetist (Crna) | NC | TBD |
| I20251107004104 | I | Certified Registered Nurse Anesthetist (Crna) | TX | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33309)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CERTIFIED REGISTERED NURSE ANESTHET | FL | 01402 | Anesthesia for open or endoscopic total knee joint replacement | 17 | 17 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Certified Registered Nurse Anesthetist (Crna) | KS | |
| Certified Registered Nurse Anesthetist (Crna) | WI | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| Certified Registered Nurse Anesthetist (Crna) | KS | |
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| Certified Registered Nurse Anesthetist (Crna) | KS | |
| Certified Registered Nurse Anesthetist (Crna) | CO | |
| - | CO | |
| Certified Registered Nurse Anesthetist (Crna) | TX |
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