DARRYL J. PHIPPS (CRNA) – Certified Registered Nurse Anesthetist, NPI 1720036882

DARRYL J. PHIPPS (CRNA) is a healthcare provider. based in Loves park, Illinois. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 209003942 (IL). The NPI Number for DARRYL J. PHIPPS (CRNA) is 1720036882

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
DARRYL J. PHIPPS (CRNA)
NPI
1720036882
Phone
(815) 877-4848
Address
2202 HARLEM ROAD
Enumeration Date
4 May 2006
Last Update Date
9 May 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7796964400
Graduation Year
2001 (25 years ago)
PAC ID
9638120462
Group Practice PAC ID
5597668004
Professional Enrollment ID
I20050209000146
Address ID
IL611042315RO1401XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

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

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Provider Addresses for DARRYL J. PHIPPS (CRNA)

  • 2202, Harlem Road, Harlem, Loves Park, Winnebago County, Illinois, 61111, United States

    LOVES PARK, IL 611112754

    Phone: (815) 877-4848

    Fax: (815) 654-5342

    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 2 Open Payments records for all available years, with a total value of $50.

Total Amount is formed as General ($50) + Research ($0) + Ownership ($0) = $50.

Last reported payment date: 2023-12-04 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($50).

Total Amount

$50

General + Research + Ownership

Payments

2

Total payment records

General Amount

$50

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-04

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$50
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: 2005-02-09

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
I20050209000146ICertified 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
01402Anesthesia for procedure for total knee joint replacement1111$0
View full utilization report →

Insurance plans in this area (ZIP 61111)

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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: 5597668004View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)IL
A N E S T H E S I O L O G YIL
A N E S T H E S I O L O G YIL
Certified Registered Nurse Anesthetist (Crna)IL
-IL
-IL
-IL
A N E S T H E S I O L O G YIL
A N E S T H E S I O L O G YIL
-IL

Reviews

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Frequently asked questions

What is DARRYL J. PHIPPS (CRNA)'s NPI number?
DARRYL J. PHIPPS (CRNA)'s NPI is 1720036882 — the number used across U.S. healthcare to identify this provider.
Is DARRYL J. PHIPPS (CRNA) still an active registrant?
DARRYL J. PHIPPS (CRNA) carries an active NPI according to the public dataset.
What expertise is attributed to DARRYL J. PHIPPS (CRNA)?
DARRYL J. PHIPPS (CRNA)'s specialty line reads Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DARRYL J. PHIPPS (CRNA)?
Travel planning: use Loves Park, Illinois as the reference point for DARRYL J. PHIPPS (CRNA), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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