RANDEL BROOKS (CRNA) – Certified Registered Nurse Anesthetist, NPI 1114528015

RANDEL BROOKS (CRNA) is a healthcare provider. based in Clarion, Iowa. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. D175480 (IA). The NPI Number for RANDEL BROOKS (CRNA) is 1114528015

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
RANDEL BROOKS (CRNA)
NPI
1114528015
Phone
(515) 532-2811
Address
1316 S Main St
Enumeration Date
6 November 2020
Last Update Date
16 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6618633190
Graduation Year
2020 (6 years ago)
PAC ID
0042626426
Group Practice PAC ID
3870964323
Professional Enrollment ID
I20210309003373
Address ID
CA933012014BA2615XAVEX300

Contacts

Secure Messaging
rbrooks295373@uihcdirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness95
Years active:5State licenses:4Other names

522 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IA

Provider Addresses for RANDEL BROOKS (CRNA)

  • 1316 S Main St

    Clarion, IA 505252019

    Phone: (515) 532-2811

    Fax: (515) 532-3119

    Type: Location

  • 403 1st St SE

    Belmond, IA 504211201

    Phone: (641) 444-3500

    Fax: (319) 343-1161

    Type: Location

  • 1023 Soho Dr

    Midvale, UT 840474770

    Phone: (202) 841-6837

    Type: Location

  • 1023 SOHO DR

    MIDVALE, UT 840474770

    Phone: (202) 841-6837

    Type: Location

  • 6200 N LA CHOLLA BLVD

    TUCSON, AZ 857413529

    Phone: (520) 742-9000

    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: 2025-07-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20210309003373ICertified Registered Nurse Anesthetist (Crna)CATBD
I20231004001835ICertified Registered Nurse Anesthetist (Crna)IATBD
I20250710004245ICertified Registered Nurse Anesthetist (Crna)AZTBD

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 50525)

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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: 3870964323View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YIN
Anesthesiology, Pain ManagementCA
A N E S T H E S I O L O G YCA
Certified Registered Nurse Anesthetist (Crna)TN
Anesthesiology, Critical Care (Intensivists)CA
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YKS
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)NV

Reviews

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Frequently asked questions

How is RANDEL BROOKS (CRNA) identified in CMS data?
CMS-hosted NPPES data lists RANDEL BROOKS (CRNA) with NPI 1114528015.
Is RANDEL BROOKS (CRNA) listed as active for patients and plans?
The listing shows RANDEL BROOKS (CRNA) as active in the NPI system.
What taxonomy line describes RANDEL BROOKS (CRNA)?
For research purposes, treat RANDEL BROOKS (CRNA) as Certified Registered Nurse Anesthetist in this dataset. Clinical services aligned with this taxonomy classification.
Where is RANDEL BROOKS (CRNA) based?
RANDEL BROOKS (CRNA) is tied to Clarion, Iowa in the data we show; additional addresses may exist on the full record.
Is the information about RANDEL BROOKS (CRNA) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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