MRS. TIA MARIE ZDYCH (CRNA) – Certified Registered Nurse Anesthetist, NPI 1144804212

MRS. TIA MARIE ZDYCH (CRNA) is a healthcare provider. based in Crown point, Indiana. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 28200892A (IN). The NPI Number for MRS. TIA MARIE ZDYCH (CRNA) is 1144804212

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MRS. TIA MARIE ZDYCH (CRNA)
NPI
1144804212
Phone
(219) 508-1293
Address
1777 E 105TH AVE
Enumeration Date
5 May 2021
Last Update Date
28 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2199322300
Graduation Year
2021 (5 years ago)
PAC ID
0749678308
Group Practice PAC ID
1153576905
Professional Enrollment ID
I20211101001421
Address ID
IN463201931HA5454XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

710 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IN

Provider Addresses for MRS. TIA MARIE ZDYCH (CRNA)

  • 1777 E 105TH AVE

    CROWN POINT, IN 463077078

    Phone: (219) 508-1293

    Type: Mailing

  • 1201 S MAIN ST

    CROWN POINT, IN 463078481

    Phone: (219) 738-2100

    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: 2022-09-12

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
I20211101001421ICertified Registered Nurse Anesthetist (Crna)INTBD
I20220912003749ICertified 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
36620Insertion of artery tube for blood sampling or infusion through skin2827$0
View full utilization report →

Insurance plans in this area (ZIP 46307)

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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: 1153576905View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TX
A N E S T H E S I O L O G YIL
Certified Registered Nurse Anesthetist (Crna)IN
Certified Registered Nurse Anesthetist (Crna)IN
A N E S T H E S I O L O G YIN
Certified Registered Nurse Anesthetist (Crna)KY
Certified Registered Nurse Anesthetist (Crna)TX
A N E S T H E S I O L O G YKY
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)IN

Reviews

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Frequently asked questions

Can I cross-check MRS. TIA MARIE ZDYCH (CRNA) using NPI 1144804212?
NPI 1144804212 belongs to MRS. TIA MARIE ZDYCH (CRNA); compare other details if you need extra assurance.
Would MRS. TIA MARIE ZDYCH (CRNA) appear as active to a payer?
You can treat MRS. TIA MARIE ZDYCH (CRNA) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to MRS. TIA MARIE ZDYCH (CRNA)?
MRS. TIA MARIE ZDYCH (CRNA)'s specialty line reads Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MRS. TIA MARIE ZDYCH (CRNA)?
Travel planning: use Crown Point, Indiana as the reference point for MRS. TIA MARIE ZDYCH (CRNA), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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