GREGG ALAN RICKABAUGH (CRNA) – Certified Registered Nurse Anesthetist, NPI 1629048343

Certified Registered Nurse Anesthetist

GREGG ALAN RICKABAUGH (CRNA) is a healthcare provider. based in Newton, Kansas. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 54095 (KS). The NPI Number for GREGG ALAN RICKABAUGH (CRNA) is 1629048343

Main info

Male

41 Years Of Experience

Accepts Medicare Assignment

Name

GREGG ALAN RICKABAUGH (CRNA)

NPI

1629048343

Phone

(316) 281-3700

Address

PO BOX 388

Enumeration Date

25 January 2006

Last Update Date

12 May 2011

Doctor Profile

Medical School Name

OTHER

Secondary Phone

7857382266501

Graduation Year

1985 (41 years ago)

PAC ID

2668437096

Group Practice PAC ID

7517995012

Professional Enrollment ID

I20041124000953

Address ID

KS674201605BE400XXSTXX400

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience54

Completeness75

Years active:20State licenses:1Digital endpointsOther names

966 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in KS

Loading map...

Provider Addresses for GREGG ALAN RICKABAUGH (CRNA)

PO BOX 388
NEWTON, KS 671140388
Phone: (316) 281-3700
Fax: (316) 282-4322
Type: Mailing
South Plummer Avenue, Chanute, Neosho County, Kansas, 66720, United States
CHANUTE, KS 66720
Phone: (620) 431-4000
Type: Location

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: 2025-03-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

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
I20041124000953	I	Certified Registered Nurse Anesthetist (Crna)	KS	TBD
I20250326000540	I	Certified Registered Nurse Anesthetist (Crna)	TX	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 67114)

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: 7517995012View full group profile

Name	Specialty	State
MARIAH RUTH WEAKLAND	Certified Registered Nurse Anesthetist (Crna)	NE
BRETT M BRUNA (CRNA)	Certified Registered Nurse Anesthetist (Crna)	NE
DERIK TYLER GOTAY (DNAP)	Certified Registered Nurse Anesthetist (Crna)	FL
MRS. SALLY ANN SEWELL (CRNA)	Certified Registered Nurse Anesthetist (Crna)	KS
MRS. DEBORAH D BYERS (CRNA)	Certified Registered Nurse Anesthetist (Crna)	MO
MARIA JAMISON (CRNA)	Certified Registered Nurse Anesthetist (Crna)	AK
MICHAEL ROTH (CRNA)	Certified Registered Nurse Anesthetist (Crna)	KS
MR. SHELBY TANNER MOLLENKAMP (CRNA)	Certified Registered Nurse Anesthetist (Crna)	KS
DR. SCOTT KAUL (CRNA, NSPM-C)	Certified Registered Nurse Anesthetist (Crna)	MO
DR. MARK EDWARD BANKER (M.D.)	General Surgery	KS

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What number should I use to identify GREGG ALAN RICKABAUGH (CRNA) for billing?

Administrative and clinical systems typically use NPI 1629048343 for GREGG ALAN RICKABAUGH (CRNA).

Is GREGG ALAN RICKABAUGH (CRNA) currently accepting referrals based on NPI status?

Registry metadata lists GREGG ALAN RICKABAUGH (CRNA) as active.

What services align with GREGG ALAN RICKABAUGH (CRNA)'s listing?

GREGG ALAN RICKABAUGH (CRNA)'s public classification highlights Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.

Is GREGG ALAN RICKABAUGH (CRNA) tied to Newton, Kansas?

If you are local to Newton, Kansas, GREGG ALAN RICKABAUGH (CRNA) may be relevant to your search.

Why is information missing for GREGG ALAN RICKABAUGH (CRNA)?

Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.