MATTHEW J STADER (CRNA) – Certified Registered Nurse Anesthetist, NPI 1205273422

MATTHEW J STADER (CRNA) is a healthcare provider. based in Dubuque, Iowa. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. D135182 (IA). The NPI Number for MATTHEW J STADER (CRNA) is 1205273422

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW J STADER (CRNA)
NPI
1205273422
Phone
(563) 556-8332
Address
1900 JOHN F KENNEDY RD
Enumeration Date
29 May 2013
Last Update Date
4 March 2015

Doctor Profile

Medical School Name
UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Secondary Phone
6087232131
Graduation Year
2013 (13 years ago)
PAC ID
8325270077
Group Practice PAC ID
9638079445
Professional Enrollment ID
I20160429000862
Address ID
WI538132054LA507XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

522 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IA

Provider Addresses for MATTHEW J STADER (CRNA)

  • 1900 JOHN F KENNEDY RD

    DUBUQUE, IA 520023865

    Phone: (563) 556-8332

    Fax: (563) 556-8334

    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 $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2023-01-26 • Largest payer in this snapshot: Medtronic, Inc. ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-26

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medtronic, Inc.$18
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: 2016-04-29

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
I20160429000862ICertified Registered Nurse Anesthetist (Crna)WITBD

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 52002)

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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: 9638079445View full group profile
NameSpecialtyState
Nurse PractitionerWI
-WI
Certified Registered Nurse Anesthetist (Crna)WI
General SurgeryWI
Physical Therapist In Private PracticeWI
Cardiovascular Disease (Cardiology)WI
Hospitalist, Family PracticeWI
O T O L A R Y N G O L O G YIL
Certified Registered Nurse Anesthetist (Crna)IL
Physical Therapist In Private PracticeWI

Reviews

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Frequently asked questions

What is MATTHEW J STADER (CRNA)'s NPI number?
MATTHEW J STADER (CRNA)'s NPI is 1205273422 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to MATTHEW J STADER (CRNA)?
You should see MATTHEW J STADER (CRNA) as active in CMS-hosted NPPES data.
What area of care is associated with MATTHEW J STADER (CRNA)?
MATTHEW J STADER (CRNA)'s record emphasizes Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is MATTHEW J STADER (CRNA) associated with Dubuque?
Public fields place MATTHEW J STADER (CRNA) around Dubuque, Iowa. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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