MS. ANDREA BAUER BANTA (CRN) – Certified Registered Nurse Anesthetist, NPI 1407150071

MS. ANDREA BAUER BANTA (CRN) is a healthcare provider. based in Pinecrest, Florida. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRN. They hold a License No. RN9222380 (FL). The NPI Number for MS. ANDREA BAUER BANTA (CRN) is 1407150071

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
MS. ANDREA BAUER BANTA (CRN)
NPI
1407150071
Phone
(305) 794-9016
Address
11120 SW 58TH CT
Enumeration Date
22 December 2010
Last Update Date
20 November 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5415852400
Graduation Year
2010 (16 years ago)
PAC ID
0840474664
Group Practice PAC ID
6901177906
Professional Enrollment ID
I20200107000883
Address ID
OR977017680BE2115XCTXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:15State licenses:2Digital endpointsOther names

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

Provider Addresses for MS. ANDREA BAUER BANTA (CRN)

  • 11120 SW 58TH CT

    PINECREST, FL 331565015

    Phone: (305) 794-9016

    Type: Mailing

  • 1613 HARRISON PKWY

    SUNRISE, FL 333232896

    Phone: (180) 043-7267

    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: 2020-01-07

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
I20200107000883ICertified Registered Nurse Anesthetist (Crna)ORTBD

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
00142Anesthesia for lens surgery435314$0
00145Anesthesia for retinal surgery121109$0
00140Anesthesia for other procedure on eye1715$0
View full utilization report →

Insurance plans in this area (ZIP 33156)

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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: 6901177906View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)OR
Certified Registered Nurse Anesthetist (Crna)OR

Reviews

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Frequently asked questions

What is the 10-digit NPI for MS. ANDREA BAUER BANTA (CRN)?
MS. ANDREA BAUER BANTA (CRN) — NPI 1407150071 — is the standard way to identify this listing.
Can I rely on MS. ANDREA BAUER BANTA (CRN) being an active provider?
As of the registry snapshot, MS. ANDREA BAUER BANTA (CRN) is marked active.
What is MS. ANDREA BAUER BANTA (CRN)'s primary classification?
Certified Registered Nurse Anesthetist is the headline specialty for MS. ANDREA BAUER BANTA (CRN) here. Clinical services aligned with this taxonomy classification.
Where is MS. ANDREA BAUER BANTA (CRN) based?
MS. ANDREA BAUER BANTA (CRN) is tied to Pinecrest, Florida in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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