DORA RENEE GREEN (CRNA) – Certified Registered Nurse Anesthetist, NPI 1245217124
Certified Registered Nurse Anesthetist
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Profile Insights
NPPES metrics only — not quality of care.
2,265 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IL
Provider Addresses for DORA RENEE GREEN (CRNA)
19624 Governors Hwy
Suite 6 & 7
Flossmoor, IL 604222077
Phone: (708) 798-5838
Fax: (708) 798-5865
Type: Location
Governors Highway, Sunny Crest, Flossmoor, Rich Township, Cook County, Illinois, 60430, United States
SUITE 6 & 7
FLOSSMOOR, IL 604222077
Phone: (708) 798-5838
Fax: (708) 798-5865
Type: Mailing
Greenbush Street, Eastwich, Lafayette, Tippecanoe County, Indiana, 47904, United States
LAFAYETTE, IN 479042477
Phone: (765) 448-8000
Type: Location
100 N ACADEMY AVE STE 6&7
DANVILLE, PA 178224903
Phone: (814) 272-5011
Fax: (814) 272-6531
Type: Mailing
132 ABIGAIL LN
PORT MATILDA, PA 168707153
Phone: (814) 272-5011
Fax: (814) 272-6531
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: 2025-08-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20111202000653 | I | Certified Registered Nurse Anesthetist (Crna) | OH | TBD |
| I20220225000007 | I | Certified Registered Nurse Anesthetist (Crna) | VA | TBD |
| I20241011000264 | I | Certified Registered Nurse Anesthetist (Crna) | KY | TBD |
| I20250820000327 | I | Certified Registered Nurse Anesthetist (Crna) | TN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00142 | Anesthesia for lens surgery | 235 | 208 | $0 |
| 00812 | Anesthesia for exam of colon using an endoscope | 86 | 86 | $0 |
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 58 | 58 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 39 | 39 | $0 |
| 00145 | Anesthesia for retinal surgery | 23 | 21 | $0 |
Insurance plans in this area (ZIP 60422)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| G A S T R O E N T E R O L O G Y | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology) | KY | |
| Cardiovascular Disease (Cardiology), Internal Medicine | KY | |
| - | KY | |
| Interventional Cardiology | KY | |
| Pulmonary Disease, Critical Care (Intensivists) | KY | |
| Plastic And Reconstructive Surgery | NY | |
| Vascular Surgery, General Surgery | KY |
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