ERIC JUSTIN PETTITT (CRNA) – Certified Registered Nurse Anesthetist, NPI 1508302761

ERIC JUSTIN PETTITT (CRNA) is a healthcare provider. based in Lynn haven, Florida. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. APRN9346602 (FL). The NPI Number for ERIC JUSTIN PETTITT (CRNA) is 1508302761

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
ERIC JUSTIN PETTITT (CRNA)
NPI
1508302761
Phone
Not provided
Address
301 LANDINGS DR
Enumeration Date
12 January 2017
Last Update Date
5 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8665075244
Graduation Year
2016 (10 years ago)
PAC ID
1557646858
Group Practice PAC ID
9133390313
Professional Enrollment ID
I20170329001754
Address ID
FL334846514DE5352XBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness85
Years active:9State licenses:1Digital endpointsOther names

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

Loading map...

Provider Addresses for ERIC JUSTIN PETTITT (CRNA)

  • 301, Landings Drive, Lynn Haven, Bay County, Florida, 32444, United States

    LYNN HAVEN, FL 324443242

    Phone:

    Type: Mailing

  • 12176 83RD LN N

    WEST PALM BEACH, FL 334122288

    Phone: (850) 292-2431

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $174.

Total Amount is formed as General ($174) + Research ($0) + Ownership ($0) = $174.

Last reported payment date: 2024-10-01 • Largest payer in this snapshot: ABIOMED ($137).

Total Amount

$174

General + Research + Ownership

Payments

3

Total payment records

General Amount

$174

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-01

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2017-03-29

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
I20170329001754ICertified 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
00530Anesthesia for insertion of permanent heart pacemaker1111$0
View full utilization report →

Insurance plans in this area (ZIP 32444)

Loading plans...

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: 9133390313View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
-FL
A N E S T H E S I O L O G YNY
A N E S T H E S I O L O G YFL
-FL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What identifier follows ERIC JUSTIN PETTITT (CRNA) across health systems?
The NPI 1508302761 uniquely identifies ERIC JUSTIN PETTITT (CRNA) in U.S. healthcare data.
Is ERIC JUSTIN PETTITT (CRNA)'s NPI status active today?
Active status means ERIC JUSTIN PETTITT (CRNA)'s NPI record is not deactivated in the public file.
What does the directory say ERIC JUSTIN PETTITT (CRNA) does?
Insurance directories may phrase it differently, but here ERIC JUSTIN PETTITT (CRNA) maps to Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Can patients visit ERIC JUSTIN PETTITT (CRNA) in Lynn Haven, Florida?
For routing, start with Lynn Haven, Florida for ERIC JUSTIN PETTITT (CRNA), then verify phone and hours locally.
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.

Similar Providers

MR. TERRY DUSTON BONNER

Certified Registered Nurse Anesthetist
Lynn Haven, Bay County, Florida, United States
NPI: 1659347755

MR. EARL BROOKS (CRNA, ARNP)

Certified Registered Nurse Anesthetist
3411, Cherry Ridge Road, The Hammocks, Lynn Haven, Bay County, Florida, 32444, United States
NPI: 1881631109

MR. ROGER GALLAGHER (CRNA)

Certified Registered Nurse Anesthetist
2308, Country Club Drive, Lynn Haven, Bay County, Florida, 32444, United States
NPI: 1902904170

MR. DAVID JOE HAMRICK (CRNA)

Certified Registered Nurse Anesthetist
712, Driftwood Drive, Panama City, Bay County, Florida, 32444, United States
NPI: 1295872737

MRS. JAMIE JUSTINE MILTENBERGER (CRNA)

Certified Registered Nurse Anesthetist
44-361 NILU ST APT 6
NPI: 1841608643

MS. SUSAN MARIE WAYNES (CRNA)

Certified Registered Nurse Anesthetist
451, Paradise Boulevard, Laguna Beach, Bay County, Florida, 32413, United States
NPI: 1639533011

KLAUS NAVAS (CRNA)

Certified Registered Nurse Anesthetist
2101 W HIGHWAY 390 APT 1101
NPI: 1578009429

KENNETH RAY ADKISON

Certified Registered Nurse Anesthetist
2995 DREW ST FL 2
NPI: 1255870978

TIFFANY SUNDAY (CRNA)

Certified Registered Nurse Anesthetist
1206, Maryland Avenue, Lynn Haven, Bay County, Florida, 32444, United States
NPI: 1427531565