BRYAN O BAXLEY (CRNA) – Certified Registered Nurse Anesthetist, NPI 1902934870

BRYAN O BAXLEY (CRNA) is a healthcare provider. based in Coffeyville, Kansas. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 55569 (KS). The NPI Number for BRYAN O BAXLEY (CRNA) is 1902934870

Main info

Male
20 Years Of Experience
Name
BRYAN O BAXLEY (CRNA)
NPI
1902934870
Phone
(620) 251-1200
Address
1400 W 4th St
Enumeration Date
1 March 2007
Last Update Date
4 February 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6202300044
Graduation Year
2006 (20 years ago)
PAC ID
1456454073
Group Practice PAC ID
7618418088
Professional Enrollment ID
I20070319000571
Address ID
KS667626621PI2711XBXXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

966 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in KS

Provider Addresses for BRYAN O BAXLEY (CRNA)

  • 1400 W 4th St

    Coffeyville, KS 673373306

    Phone: (620) 251-1200

    Type: Location

  • 1 MT. CARMEL WAY

    PITTSBURG, KS 66762

    Phone: (620) 231-6100

    Fax: (620) 231-0081

    Type: Mailing

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 $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2024-04-08 • Largest payer in this snapshot: Heron Therapeutics, Inc. ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-08

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Heron Therapeutics, Inc.$16
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: 2015-12-11

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

2

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
I20070319000571ICertified Registered Nurse Anesthetist (Crna)KSTBD
I20151211002146ICertified Registered Nurse Anesthetist (Crna)MOTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00142Anesthesia for lens surgery4444$0
00811Anesthesia for other procedure on large bowel using an endoscope2121$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1616$0
00813Anesthesia for procedure on small and large bowel using an endoscope1212$0
View full utilization report →

Insurance plans in this area (ZIP 67337)

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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: 7618418088View full group profile
NameSpecialtyState
U R O L O G YKS
Interventional Cardiology, Cardiovascular Disease (Cardiology)OH
Certified Registered Nurse Anesthetist (Crna)KS
Cardiovascular Disease (Cardiology), Internal Medicine, Interventional CardiologyKS
Cardiovascular Disease (Cardiology), Cardiac Surgery, Interventional CardiologyKS
Nurse PractitionerKS
Certified Registered Nurse Anesthetist (Crna)KS
Internal MedicineKS
Certified Registered Nurse Anesthetist (Crna)KS
General SurgeryKS

Reviews

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Frequently asked questions

What NPI should I save for BRYAN O BAXLEY (CRNA)?
Save NPI 1902934870 if you need a stable reference for BRYAN O BAXLEY (CRNA).
Is BRYAN O BAXLEY (CRNA)'s NPI currently valid?
The extract we use shows BRYAN O BAXLEY (CRNA) as active.
What kind of provider is BRYAN O BAXLEY (CRNA)?
The page reflects Certified Registered Nurse Anesthetist for BRYAN O BAXLEY (CRNA). Clinical services aligned with this taxonomy classification.
Where is BRYAN O BAXLEY (CRNA)'s primary listing?
We display Coffeyville, Kansas because that is what the record indicates for BRYAN O BAXLEY (CRNA).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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