MISTY W TIBBITT (CRNA) – Certified Registered Nurse Anesthetist, NPI 1346350980

MISTY W TIBBITT (CRNA) is a healthcare provider. based in Alpharetta, Georgia. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 154668 (GA). The NPI Number for MISTY W TIBBITT (CRNA) is 1346350980

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
MISTY W TIBBITT (CRNA)
NPI
1346350980
Phone
(706) 741-1361
Address
PO BOX 4380
Enumeration Date
30 August 2006
Last Update Date
5 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7066416900
Graduation Year
2005 (21 years ago)
PAC ID
1254437791
Group Practice PAC ID
8527254887
Professional Enrollment ID
I20070501000024
Address ID
GA319048749CO1130XRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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

Provider Addresses for MISTY W TIBBITT (CRNA)

  • Alpharetta Post Office, Kingry Lane, Alpharetta, Fulton County, Georgia, 30009, United States

    ALPHARETTA, GA 300234380

    Phone: (706) 741-1361

    Type: Mailing

  • 5106 GA HIGHWAY 41 S

    BUENA VISTA, GA 318038801

    Phone: (706) 741-1361

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 30 Open Payments records for all available years, with a total value of $612.

Total Amount is formed as General ($612) + Research ($0) + Ownership ($0) = $612.

Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Salix Pharmaceuticals, a division of Bausch Health US, LLC ($352).

Total Amount

$612

General + Research + Ownership

Payments

30

Total payment records

General Amount

$612

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-06

Latest reported date

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: 2007-05-01

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
I20070501000024ICertified 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
00811Anesthesia for other procedure on large bowel using an endoscope182181$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope144141$0
00812Anesthesia for exam of colon using an endoscope6666$0
00813Anesthesia for procedure on small and large bowel using an endoscope3232$0
View full utilization report →

Insurance plans in this area (ZIP 30023)

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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: 8527254887View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)GA

Reviews

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Frequently asked questions

What unique ID ties claims to MISTY W TIBBITT (CRNA)?
NPI 1346350980 is assigned to MISTY W TIBBITT (CRNA) under the national enumeration system.
Is MISTY W TIBBITT (CRNA)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does MISTY W TIBBITT (CRNA) list a primary specialty?
If you are matching referrals, note Certified Registered Nurse Anesthetist for MISTY W TIBBITT (CRNA). Clinical services aligned with this taxonomy classification.
What location metadata exists for MISTY W TIBBITT (CRNA)?
The page summarizes Alpharetta, Georgia for MISTY W TIBBITT (CRNA); expand the address list for detail.
What if Alpharetta, Georgia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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