MASON SPITZNER (CRNA) – Certified Registered Nurse Anesthetist, NPI 1164284972

MASON SPITZNER (CRNA) is a healthcare provider. based in Fairfield, Illinois. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 209029238 (IL). The NPI Number for MASON SPITZNER (CRNA) is 1164284972

Main info

Male
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
MASON SPITZNER (CRNA)
NPI
1164284972
Phone
(618) 842-2611
Address
303 NW 11TH ST
Enumeration Date
26 January 2024
Last Update Date
26 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6188478346
Graduation Year
2023 (3 years ago)
PAC ID
1254777097
Group Practice PAC ID
5698671741
Professional Enrollment ID
I20240314002636
Address ID
IL628371203FA303XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

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

Provider Addresses for MASON SPITZNER (CRNA)

  • 303 NW 11TH ST

    FAIRFIELD, IL 628371206

    Phone: (618) 842-2611

    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)

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: 2024-03-14

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
I20240314002636ICertified 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62837)

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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: 5698671741View full group profile
NameSpecialtyState
Family PracticeIL
Physician AssistantIL
Family PracticeIL
Certified Registered Nurse Anesthetist (Crna)IL
Nurse PractitionerIL
-IN
Clinical Social WorkerIL
Clinical Social WorkerIL
Nurse PractitionerIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

Does MASON SPITZNER (CRNA) have a public NPI I can cite?
Public records show MASON SPITZNER (CRNA) under NPI 1164284972.
Is MASON SPITZNER (CRNA)'s NPI status active today?
Active status means MASON SPITZNER (CRNA)'s NPI record is not deactivated in the public file.
Which specialty label fits MASON SPITZNER (CRNA)?
NPPES ties MASON SPITZNER (CRNA) to Certified Registered Nurse Anesthetist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is MASON SPITZNER (CRNA) tied to Fairfield, Illinois?
If you are local to Fairfield, Illinois, MASON SPITZNER (CRNA) may be relevant to your search.
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.

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