ANNA M HENNINGSEN (CRNA) – Certified Registered Nurse Anesthetist, NPI 1033854955

ANNA M HENNINGSEN (CRNA) is a healthcare provider. based in North liberty, Iowa. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. D179893 (IA). The NPI Number for ANNA M HENNINGSEN (CRNA) is 1033854955

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
ANNA M HENNINGSEN (CRNA)
NPI
1033854955
Phone
(507) 696-8440
Address
90 AUGUSTA CT
Enumeration Date
4 May 2022
Last Update Date
16 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5635844100
Graduation Year
2024 (2 years ago)
PAC ID
6608316633
Group Practice PAC ID
3870491228
Professional Enrollment ID
I20240905001804
Address ID
IA520022201DU1500XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

522 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IA

Provider Addresses for ANNA M HENNINGSEN (CRNA)

  • 90 AUGUSTA CT

    NORTH LIBERTY, IA 523179737

    Phone: (507) 696-8440

    Type: Mailing

  • 200 HAWKINS DR

    IOWA CITY, IA 522421009

    Phone: (319) 356-1616

    Type: Location

  • 1500 ASSOCIATES DR

    DUBUQUE, IA 520022201

    Phone: (563) 584-4500

    Type: Mailing

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 $30.

Total Amount is formed as General ($30) + Research ($0) + Ownership ($0) = $30.

Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($30).

Total Amount

$30

General + Research + Ownership

Payments

1

Total payment records

General Amount

$30

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-07

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$30
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: 2024-09-05

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
I20240905001804ICertified Registered Nurse Anesthetist (Crna)IATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 52317)

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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: 3870491228View full group profile
NameSpecialtyState
Physician AssistantIA
-IA
D E R M A T O L O G YWI
Physical Medicine And RehabilitationIA
-IA
Nurse PractitionerIA
-IA
Physician AssistantIA
Physical Therapist In Private PracticeIA
A L L E R G Y/ I M M U N O L O G YIA

Reviews

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Frequently asked questions

Is ANNA M HENNINGSEN (CRNA) listed with a National Provider Identifier?
Yes — ANNA M HENNINGSEN (CRNA) has NPI 1033854955 on file in the registry.
Active or inactive — what applies to ANNA M HENNINGSEN (CRNA)?
You should see ANNA M HENNINGSEN (CRNA) as active in CMS-hosted NPPES data.
What kind of doctor is ANNA M HENNINGSEN (CRNA)?
ANNA M HENNINGSEN (CRNA) is associated with Certified Registered Nurse Anesthetist in the directory — Clinical services aligned with this taxonomy classification.
Where in Iowa is ANNA M HENNINGSEN (CRNA) registered?
Use North Liberty, Iowa as the headline location for ANNA M HENNINGSEN (CRNA) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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