DAVID DEROSSO (CRNA) – Certified Registered Nurse Anesthetist, NPI 1194897710

DAVID DEROSSO (CRNA) is a healthcare provider. based in Macon, Georgia. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. RN135847 (GA). The NPI Number for DAVID DEROSSO (CRNA) is 1194897710

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
DAVID DEROSSO (CRNA)
NPI
1194897710
Phone
(478) 633-6706
Address
598 3RD ST
Enumeration Date
15 November 2006
Last Update Date
19 December 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9124861000
Graduation Year
2001 (25 years ago)
PAC ID
5991693566
Group Practice PAC ID
3870880792
Professional Enrollment ID
I20040305000576
Address ID
GA304581683ST1499XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,710 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in GA

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Provider Addresses for DAVID DEROSSO (CRNA)

  • 3rd Street, Macon, Bibb County, Georgia, 31201, United States

    MACON, GA 312013357

    Phone: (478) 633-6706

    Fax: (478) 633-5384

    Type: Mailing

  • East Georgia Regional Medical Center, 1499, Fair Road, Somerset, Statesboro, Bulloch County, Georgia, 30458, United States

    STATESBORO, GA 304581683

    Phone: (704) 662-5544

    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: 2004-03-05

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
I20040305000576ICertified Registered Nurse Anesthetist (Crna)GATBD

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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope3533$0
00813Anesthesia for procedure on small and large bowel using an endoscope3434$0
00811Anesthesia for other procedure on large bowel using an endoscope2525$0
00812Anesthesia for exam of colon using an endoscope2222$0
View full utilization report →

Insurance plans in this area (ZIP 31201)

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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: 3870880792View full group profile
NameSpecialtyState
-GA
Certified Registered Nurse Anesthetist (Crna)GA
-GA
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)GA
A N E S T H E S I O L O G YGA
-GA
A N E S T H E S I O L O G YFL
Anesthesiology AssistantFL
Certified Registered Nurse Anesthetist (Crna)GA

Reviews

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Frequently asked questions

What is the standard ID for DAVID DEROSSO (CRNA) in the U.S.?
In the U.S., DAVID DEROSSO (CRNA) is identified by NPI 1194897710.
Quick check: is DAVID DEROSSO (CRNA) active?
Public NPPES data shows DAVID DEROSSO (CRNA) with an active NPI status right now.
What services align with DAVID DEROSSO (CRNA)'s listing?
DAVID DEROSSO (CRNA)'s public classification highlights Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Which community is linked to DAVID DEROSSO (CRNA)?
DAVID DEROSSO (CRNA) shows a connection to Macon, Georgia in registry-derived data.
Can I export DAVID DEROSSO (CRNA)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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