ROBERT V CARRILLO (CRNA) – Certified Registered Nurse Anesthetist, NPI 1508879305

Certified Registered Nurse Anesthetist

ROBERT V CARRILLO (CRNA) is a healthcare provider. based in Fort scott, Kansas. specializing in Certified Registered Nurse Anesthetist. They hold the professional credentials CRNA. They hold a License No. 54133 (KS). The NPI Number for ROBERT V CARRILLO (CRNA) is 1508879305

Main info

Male

46 Years Of Experience

Accepts Medicare Assignment

Name

ROBERT V CARRILLO (CRNA)

NPI

1508879305

Phone

(620) 223-2200

Address

401 WOODLAND HILLS BLVD

Enumeration Date

14 August 2006

Last Update Date

9 July 2007

Doctor Profile

Medical School Name

OTHER

Secondary Phone

6202320133

Graduation Year

1980 (46 years ago)

PAC ID

5799702510

Group Practice PAC ID

0547171670

Professional Enrollment ID

I20051031000506

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience52

Completeness75

Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for ROBERT V CARRILLO (CRNA)

401 WOODLAND HILLS BLVD
FORT SCOTT, KS 667018797
Phone: (620) 223-2200
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2005-10-31

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

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

Medicare enrolled
On CMS revalidation list
Due date assigned
Revalidate in PECOS

CMS enrollment records

Enrollment ID	Type	Specialty	State	Due date
I20051031000506	I	Certified Registered Nurse Anesthetist (Crna)	KS	TBD

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 66701)

Loading plans...

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: 0547171670View full group profile