Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1821083122
Certified Registered Nurse Anesthetist
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
6312 W 92ND ST S
PRAIRIE CITY, IA 502288777
Phone: (515) 994-2620
Type: Mailing
Broadlawns Medical Center, 1801, Hickman Road, Mondamin Presidential, Des Moines, Polk County, Iowa, 50314, United States
DES MOINES, IA 503141548
Phone: (515) 282-2261
Type: Location
10471 N 67TH AVE E
KELLOGG, IA 501358630
Phone:
Type: Mailing
210 4th Ave
Grinnell, IA 501121898
Phone: (641) 236-7511
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $111.
Total Amount is formed as General ($111) + Research ($0) + Ownership ($0) = $111.
Last reported payment date: 2024-03-27 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($111).
Total Amount
$111
General + Research + Ownership
Payments
6
Total payment records
General Amount
$111
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Merck Sharp & Dohme LLC | $111 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 18 | 18 | $0 |
| 00812 | Anesthesia for exam of colon using an endoscope | 15 | 15 | $0 |
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 12 | 12 | $0 |
Insurance plans in this area (ZIP 50228)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CERTIFIED REGISTERED NURSE ANESTHET | IA | 01402 | Anesthesia for open or endoscopic total knee joint replacement | 14 | 14 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | WI | |
| Certified Registered Nurse Anesthetist (Crna) | IL | |
| Emergency Medicine | IA | |
| Internal Medicine, Hospitalist | IA | |
| Physician Assistant | IA | |
| Emergency Medicine | IA | |
| Internal Medicine | IA | |
| - | IA | |
| Nurse Practitioner | RI | |
| Anesthesiology, Interventional Pain Management, Pain Management | IA |
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