MRS. ILUSION BRABHAM (CRNA) – Certified Registered Nurse Anesthetist, NPI 1881990356
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,359 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in FL
Provider Addresses for MRS. ILUSION BRABHAM (CRNA)
829 CHANTERELLE WAY
SAINT JOHNS, FL 322598001
Phone: (904) 392-6694
Type: Mailing
2165 HERSCHEL ST
JACKSONVILLE, FL 322043819
Phone: (904) 381-4030
Type: Location
PO BOX 845347
5323 HARRY HINES BLVD
DALLAS, TX 752845347
Phone: (214) 645-0624
Fax: (214) 645-0078
Type: Mailing
5323 HARRY HINES BLVD STOP 7200
DALLAS, TX 753907201
Phone: (214) 648-6400
Fax: (214) 648-5461
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $274.
Total Amount is formed as General ($274) + Research ($0) + Ownership ($0) = $274.
Last reported payment date: 2024-10-02 • Largest payer in this snapshot: Fisher & Paykel Healthcare Inc ($274).
Total Amount
$274
General + Research + Ownership
Payments
4
Total payment records
General Amount
$274
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Fisher & Paykel Healthcare Inc | $274 |
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: 2011-09-06
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 |
|---|---|---|---|---|
| I20110906000538 | 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 32259)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CERTIFIED REGISTERED NURSE ANESTHET | FL | 00142 | Anesthesia for lens surgery | 43 | 40 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| Diagnostic Radiology | TX | |
| Anesthesiology, Pain Management | FL | |
| - | TX | |
| Internal Medicine | TX | |
| - | TX | |
| U R O L O G Y | TX | |
| - | TX | |
| - | TX | |
| Certified Registered Nurse Anesthetist (Crna) | TX |
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