JOHN J RETZLOFF (CRNA) – Certified Registered Nurse Anesthetist, NPI 1881822039

JOHN J RETZLOFF (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. 28146650A (IN). The NPI Number for JOHN J RETZLOFF (CRNA) is 1881822039

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
JOHN J RETZLOFF (CRNA)
NPI
1881822039
Phone
(574) 237-9366
Address
211 N Eddy St
Enumeration Date
26 June 2009
Last Update Date
21 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5742348161
Graduation Year
2009 (17 years ago)
PAC ID
6103970819
Group Practice PAC ID
3779577937
Professional Enrollment ID
I20090814000322
Address ID
IN466172808SO211XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:16State licenses:1Digital endpointsOther names

710 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IN

Provider Addresses for JOHN J RETZLOFF (CRNA)

  • 211 N Eddy St

    South Bend, IN 466173096

    Phone: (574) 237-9366

    Type: Location

  • Andrew Jacobs Jr. Post Office, 125, West South Street, Old Southside, Indianapolis, Marion County, Indiana, 46206, United States

    INDIANAPOLIS, IN 462063055

    Phone: (317) 567-2180

    Fax: (317) 567-2191

    Type: Mailing

  • North Nappanee Street, Elkhart, Elkhart County, Indiana, 46514, United States

    SUITE 11B

    ELKHART, IN 465141503

    Phone: (574) 522-9922

    Fax: (574) 522-9926

    Type: Location

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 $32.

Total Amount is formed as General ($32) + Research ($0) + Ownership ($0) = $32.

Last reported payment date: 2024-05-05 • Largest payer in this snapshot: Avanos Medical ($32).

Total Amount

$32

General + Research + Ownership

Payments

1

Total payment records

General Amount

$32

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-05

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Avanos Medical$32
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: 2021-02-02

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
I20090814000322ICertified Registered Nurse Anesthetist (Crna)INTBD
I20210202002527ICertified Registered Nurse Anesthetist (Crna)MITBD

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
00811Anesthesia for other procedure on large bowel using an endoscope1616$0
00142Anesthesia for lens surgery1412$0
View full utilization report →

Insurance plans in this area (ZIP 46617)

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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: 3779577937View full group profile
NameSpecialtyState
Nurse PractitionerIN
-IN
-IN
O B S T E T R I C S/ G Y N E C O L O G YIN
-IN
Family PracticeKY
Family PracticeIN
O P H T H A L M O L O G YIN
Physician AssistantIN
Family PracticeIN

Reviews

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Frequently asked questions

Can I use this page to confirm JOHN J RETZLOFF (CRNA)'s NPI?
Yes. JOHN J RETZLOFF (CRNA) is listed with NPI 1881822039 in the public NPI dataset.
Does CMS list JOHN J RETZLOFF (CRNA) as active?
Yes — JOHN J RETZLOFF (CRNA) is active in the NPI listing used on this page.
What is JOHN J RETZLOFF (CRNA) best known for clinically?
Directory data describes JOHN J RETZLOFF (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What address line appears for JOHN J RETZLOFF (CRNA)?
JOHN J RETZLOFF (CRNA)'s geographic hint is South Bend, Indiana in our summary view.
Why does JOHN J RETZLOFF (CRNA) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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