JANET VARDAMAN (CRNA) – Certified Registered Nurse Anesthetist, NPI 1851304208

JANET VARDAMAN (CRNA) is a healthcare provider. based in South bend, Indiana. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 28125272 (IN). The NPI Number for JANET VARDAMAN (CRNA) is 1851304208

Main info

Female
28 Years Of Experience
Name
JANET VARDAMAN (CRNA)
NPI
1851304208
Phone
(574) 234-0049
Address
17501 GENERATIONS DR
Enumeration Date
15 August 2006
Last Update Date
14 January 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2603478140
Graduation Year
1998 (28 years ago)
PAC ID
7113058272
Group Practice PAC ID
8729011333
Professional Enrollment ID
I20100706000626
Address ID
IN467552568KE401XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

710 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IN

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Provider Addresses for JANET VARDAMAN (CRNA)

  • Dr. Sam Fuller, MD, Generations Drive, Maple Lane, South Bend, Saint Joseph County, Indiana, 46635, United States

    SOUTH BEND, IN 466351589

    Phone: (574) 234-0049

    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 $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2024-04-22 • Largest payer in this snapshot: Boston Scientific Corporation ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-22

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: 2010-07-06

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
I20100706000626ICertified Registered Nurse Anesthetist (Crna)INTBD

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 endoscope3835$0
00811Anesthesia for other procedure on large bowel using an endoscope2121$0
00813Anesthesia for procedure on small and large bowel using an endoscope1717$0
01214Anesthesia for total hip replacement1313$0
View full utilization report →

Insurance plans in this area (ZIP 46635)

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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: 8729011333View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YIL
Certified Registered Nurse Anesthetist (Crna)OH
-MO
Certified Registered Nurse Anesthetist (Crna)AZ
Certified Registered Nurse Anesthetist (Crna)OH
A N E S T H E S I O L O G YOH
A N E S T H E S I O L O G YOR
-IL
-KS
-IN

Reviews

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Frequently asked questions

How do I look up JANET VARDAMAN (CRNA) by NPI?
Use NPI 1851304208 when you need to reference JANET VARDAMAN (CRNA) in forms, claims, or directories.
Does this profile mean JANET VARDAMAN (CRNA) is currently active?
Yes — JANET VARDAMAN (CRNA) appears active in the national provider directory.
Can you summarize JANET VARDAMAN (CRNA)'s specialty in plain language?
Clinically, the directory lists JANET VARDAMAN (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Does JANET VARDAMAN (CRNA) practice in Indiana?
You will see South Bend, Indiana on file for JANET VARDAMAN (CRNA) alongside any extra practice locations.
Is JANET VARDAMAN (CRNA) a real provider?
This page reflects official NPPES data for NPI 1851304208. Always confirm identity and privileges with the practice and licensing boards.

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