MRS. KRISTINA MARIE DEROLF (CRNA) – Certified Registered Nurse Anesthetist, NPI 1093090680

MRS. KRISTINA MARIE DEROLF (CRNA) is a healthcare provider. based in Munster, Indiana. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 28200112A (IN). The NPI Number for MRS. KRISTINA MARIE DEROLF (CRNA) is 1093090680

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KRISTINA MARIE DEROLF (CRNA)
NPI
1093090680
Phone
(219) 836-1600
Address
901 MACARTHUR BLVD
Enumeration Date
15 October 2011
Last Update Date
13 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3136379861
Graduation Year
2011 (15 years ago)
PAC ID
7315183472
Group Practice PAC ID
3779832530
Professional Enrollment ID
I20130415000397
Address ID
IN477140805EV4411XAVEX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:14State licenses:3Digital endpointsOther names

710 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IN

Provider Addresses for MRS. KRISTINA MARIE DEROLF (CRNA)

  • 901 MACARTHUR BLVD

    MUNSTER, IN 463212901

    Phone: (219) 836-1600

    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 1 Open Payments records for all available years, with a total value of $25.

Total Amount is formed as General ($25) + Research ($0) + Ownership ($0) = $25.

Last reported payment date: 2024-01-23 • Largest payer in this snapshot: Medtronic, Inc. ($25).

Total Amount

$25

General + Research + Ownership

Payments

1

Total payment records

General Amount

$25

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-23

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medtronic, Inc.$25
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: 2024-06-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20130415000397ICertified Registered Nurse Anesthetist (Crna)INTBD
I20240627000962ICertified 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
01480Anesthesia for other procedure on lower leg, ankle, and foot bones1919$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1515$0
00812Anesthesia for exam of colon using an endoscope1111$0
View full utilization report →

Insurance plans in this area (ZIP 46321)

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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: 3779832530View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)FL
Interventional Pain Management, AnesthesiologyMI
A N E S T H E S I O L O G YGA
Certified Registered Nurse Anesthetist (Crna)MA
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)NY
Anesthesiology, Interventional Pain ManagementFL
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)MA
Certified Registered Nurse Anesthetist (Crna)NC

Reviews

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Frequently asked questions

What federal number belongs to MRS. KRISTINA MARIE DEROLF (CRNA)?
The federal identifier for MRS. KRISTINA MARIE DEROLF (CRNA) is NPI 1093090680.
Is MRS. KRISTINA MARIE DEROLF (CRNA)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does MRS. KRISTINA MARIE DEROLF (CRNA) list a primary specialty?
If you are matching referrals, note Certified Registered Nurse Anesthetist for MRS. KRISTINA MARIE DEROLF (CRNA). Clinical services aligned with this taxonomy classification.
What location metadata exists for MRS. KRISTINA MARIE DEROLF (CRNA)?
The page summarizes Munster, Indiana for MRS. KRISTINA MARIE DEROLF (CRNA); expand the address list for detail.
How can I contact MRS. KRISTINA MARIE DEROLF (CRNA)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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