RYAN DEUSHANE (CRNA) – Certified Registered Nurse Anesthetist, NPI 1124482252

RYAN DEUSHANE (CRNA) is a healthcare provider. based in Canton, Illinois. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 209.014083 (IL). The NPI Number for RYAN DEUSHANE (CRNA) is 1124482252

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
RYAN DEUSHANE (CRNA)
NPI
1124482252
Phone
(309) 647-5240
Address
210 W WALNUT ST
Enumeration Date
5 April 2016
Last Update Date
13 August 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3093443161
Graduation Year
2016 (10 years ago)
PAC ID
0345531497
Group Practice PAC ID
3678889789
Professional Enrollment ID
I20160620001938
Address ID
IL614011251GA3333XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

2,265 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IL

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Provider Addresses for RYAN DEUSHANE (CRNA)

  • Graham Hospital, 210, West Walnut Street, Canton, Fulton County, Illinois, 61520, United States

    CANTON, IL 615202444

    Phone: (309) 647-5240

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2024-06-25 • Largest payer in this snapshot: Axonics, Inc. ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-25

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Axonics, Inc.$19
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: 2016-06-20

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
I20160620001938ICertified Registered Nurse Anesthetist (Crna)ILTBD

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 endoscope3434$0
00813Anesthesia for procedure on small and large bowel using an endoscope2424$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2323$0
00812Anesthesia for exam of colon using an endoscope1212$0
00910Anesthesia for other procedure on urinary system through urethra1212$0
View full utilization report →

Insurance plans in this area (ZIP 61520)

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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: 3678889789View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to RYAN DEUSHANE (CRNA)?
NPI 1124482252 is assigned to RYAN DEUSHANE (CRNA) under the national enumeration system.
Is RYAN DEUSHANE (CRNA)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is RYAN DEUSHANE (CRNA)?
The page reflects Certified Registered Nurse Anesthetist for RYAN DEUSHANE (CRNA). Clinical services aligned with this taxonomy classification.
Does RYAN DEUSHANE (CRNA) practice in Illinois?
You will see Canton, Illinois on file for RYAN DEUSHANE (CRNA) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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