JENNY IDICULA – Registered Nurse, NPI 1083291637
Registered Nurse
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
533 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in ME
Provider Addresses for JENNY IDICULA
1 Medical Center Dr
Biddeford, ME 040059422
Phone: (207) 283-7042
Fax: (207) 283-7047
Type: Location
84 Campus Dr
Scarborough, ME 040747133
Phone: (207) 396-7000
Type: Location
25 June St
Sanford, ME 040732621
Phone: (207) 490-7450
Fax: (207) 490-7452
Type: Location
22 Bramhall St
Portland, ME 041023134
Phone: (207) 662-2526
Fax: (207) 662-6236
Type: Location
PO BOX 840853
DALLAS, TX 752840853
Phone: (972) 233-1999
Fax: (972) 233-3666
Type: Mailing
7421 WOLVERINE ST
AUSTIN, TX 787571523
Phone: (214) 909-0167
Type: Location
3705 MEDICAL PKWY STE 570
AUSTIN, TX 787051024
Phone: (512) 454-2554
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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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: 2025-08-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210907003189 | I | Certified Registered Nurse Anesthetist (Crna) | TX | TBD |
| I20250813003346 | I | Certified Registered Nurse Anesthetist (Crna) | ME | 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.
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 04005)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | CA | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| Certified Registered Nurse Anesthetist (Crna) | MS | |
| Certified Registered Nurse Anesthetist (Crna) | TX |
Reviews
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