ELIZABETH M HEAD (CRNA) – Certified Registered Nurse Anesthetist, NPI 1396939559

ELIZABETH M HEAD (CRNA) is a healthcare provider. based in Jasper, Indiana. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 28124098A (IN). The NPI Number for ELIZABETH M HEAD (CRNA) is 1396939559

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH M HEAD (CRNA)
NPI
1396939559
Phone
(812) 482-2345
Address
800 W 9TH ST
Enumeration Date
30 August 2007
Last Update Date
12 January 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2708277200
Graduation Year
2007 (19 years ago)
PAC ID
8426143306
Group Practice PAC ID
4981508454
Professional Enrollment ID
I20241223002558
Address ID
KY424202783HE1305XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

710 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IN

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Provider Addresses for ELIZABETH M HEAD (CRNA)

  • Memorial Hospital, 800, West 9th Street, Jasper, Dubois County, Indiana, 47546, United States

    JASPER, IN 475462514

    Phone: (812) 482-2345

    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 3 Open Payments records for all available years, with a total value of $65.

Total Amount is formed as General ($65) + Research ($0) + Ownership ($0) = $65.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($28).

Total Amount

$65

General + Research + Ownership

Payments

3

Total payment records

General Amount

$65

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2024-12-23

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
I20071008000274ICertified Registered Nurse Anesthetist (Crna)INTBD
I20241223002558ICertified Registered Nurse Anesthetist (Crna)KYTBD

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 endoscope7574$0
00812Anesthesia for exam of colon using an endoscope5858$0
00811Anesthesia for other procedure on large bowel using an endoscope2525$0
00813Anesthesia for procedure on small and large bowel using an endoscope2222$0
00910Anesthesia for other procedure on urinary system through urethra1717$0
View full utilization report →

Insurance plans in this area (ZIP 47546)

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Provider's Procedures

ELIZABETH M HEAD (CRNA) performs procedures in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETIN01402Anesthesia for open or endoscopic total knee joint replacement1414
CERTIFIED REGISTERED NURSE ANESTHETIN76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle3333

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: 4981508454View full group profile

Reviews

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Frequently asked questions

Can I cross-check ELIZABETH M HEAD (CRNA) using NPI 1396939559?
NPI 1396939559 belongs to ELIZABETH M HEAD (CRNA); compare other details if you need extra assurance.
Is there an active status for ELIZABETH M HEAD (CRNA)?
For scheduling context, ELIZABETH M HEAD (CRNA) is shown as active in the registry.
What area of care is associated with ELIZABETH M HEAD (CRNA)?
ELIZABETH M HEAD (CRNA)'s record emphasizes Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is ELIZABETH M HEAD (CRNA) located near Jasper?
ELIZABETH M HEAD (CRNA) currently maps to Jasper, Indiana in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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