THERESIA M ANDERSON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1821006057

THERESIA M ANDERSON (CRNA) is a healthcare provider. based in Geneva, Illinois. specializing in Certified Registered Nurse Anesthetist. They hold the professional credentials CRNA. They hold a License No. 209005217 (IL). The NPI Number for THERESIA M ANDERSON (CRNA) is 1821006057

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
THERESIA M ANDERSON (CRNA)
NPI
1821006057
Phone
(630) 208-4060
Address
300 RANDALL RD
Enumeration Date
3 August 2006
Last Update Date
8 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6302083000
Graduation Year
2003 (23 years ago)
PAC ID
0648178046
Group Practice PAC ID
2769388438
Professional Enrollment ID
I20050208000789
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for THERESIA M ANDERSON (CRNA)

  • 300 RANDALL RD

    GENEVA, IL 601344200

    Phone: (630) 208-4060

    Fax: (630) 208-4401

    Type: Mailing

  • Urbana Post Office, 3100, Tatman Court, Urbana, Champaign County, Illinois, 61802, United States

    URBANA, IL 618012530

    Phone: (217) 326-8300

    Type: Mailing

  • OSF Heart of Mary Medical Center, 1400, West Park Street, Urbana, Champaign County, Illinois, 61801, United States

    URBANA, IL 618012334

    Phone: (217) 337-2000

    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: 2005-02-08

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
I20050208000789ICertified 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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2323$0
01402Anesthesia for procedure for total knee joint replacement1716$0
00811Anesthesia for other procedure on large bowel using an endoscope1313$0
00790Anesthesia for other procedure on upper abdomen1111$0
View full utilization report →

Insurance plans in this area (ZIP 60134)

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Provider's Procedures

THERESIA M ANDERSON (CRNA) performs procedures in Certified Registered Nurse Anesthetist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETIL00142Anesthesia for lens surgery1313

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: 2769388438View full group profile

Reviews

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Frequently asked questions

What identifier follows THERESIA M ANDERSON (CRNA) across health systems?
The NPI 1821006057 uniquely identifies THERESIA M ANDERSON (CRNA) in U.S. healthcare data.
Does the public listing show THERESIA M ANDERSON (CRNA) as active?
THERESIA M ANDERSON (CRNA)'s NPI record reflects an active status in NPPES.
Which specialty label fits THERESIA M ANDERSON (CRNA)?
NPPES ties THERESIA M ANDERSON (CRNA) to Certified Registered Nurse Anesthetist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to THERESIA M ANDERSON (CRNA)?
THERESIA M ANDERSON (CRNA) shows a connection to Geneva, Illinois in registry-derived data.
Why is information missing for THERESIA M ANDERSON (CRNA)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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