TIMOTHY KUYPERS (CRNA) – Certified Registered Nurse Anesthetist, NPI 1184109704

TIMOTHY KUYPERS (CRNA) is a healthcare provider. based in Vernon hills, Illinois. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 230810-30 (WI). The NPI Number for TIMOTHY KUYPERS (CRNA) is 1184109704

Main info

Male
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY KUYPERS (CRNA)
NPI
1184109704
Phone
(224) 595-6541
Address
362 JEFFERSON CT
Enumeration Date
28 September 2018
Last Update Date
5 July 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2626874392
Graduation Year
2019 (7 years ago)
PAC ID
6204162472
Group Practice PAC ID
8628103777
Professional Enrollment ID
I20190725001484
Address ID
WI534051667MO3801XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:7State licenses:2Digital endpointsOther names

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

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Provider Addresses for TIMOTHY KUYPERS (CRNA)

  • 362, Jefferson Court, Leithton, Vernon Hills, Lake County, Illinois, 60061, United States

    VERNON HILLS, IL 600611349

    Phone: (224) 595-6541

    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: 2019-07-25

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
I20190725001484ICertified Registered Nurse Anesthetist (Crna)WITBD

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 60061)

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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: 8628103777View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YIL
Certified Registered Nurse Anesthetist (Crna)WI
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)PA
Certified Registered Nurse Anesthetist (Crna)WI
Certified Registered Nurse Anesthetist (Crna)WI
Certified Registered Nurse Anesthetist (Crna)OH
A N E S T H E S I O L O G YOH
Pain Management, AnesthesiologyIL
A N E S T H E S I O L O G YIL

Reviews

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Frequently asked questions

Is TIMOTHY KUYPERS (CRNA) listed with a National Provider Identifier?
Yes — TIMOTHY KUYPERS (CRNA) has NPI 1184109704 on file in the registry.
Is TIMOTHY KUYPERS (CRNA) still an active registrant?
TIMOTHY KUYPERS (CRNA) carries an active NPI according to the public dataset.
What area of care is associated with TIMOTHY KUYPERS (CRNA)?
TIMOTHY KUYPERS (CRNA)'s record emphasizes Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is TIMOTHY KUYPERS (CRNA) located near Vernon Hills?
TIMOTHY KUYPERS (CRNA) currently maps to Vernon Hills, Illinois in this extract.
Can I trust this NPI listing for TIMOTHY KUYPERS (CRNA)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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