KERRY ANA VITTUM (CRNA) – Certified Registered Nurse Anesthetist, NPI 1235663089
Certified Registered Nurse Anesthetist
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,311 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MA
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Provider Addresses for KERRY ANA VITTUM (CRNA)
South Shore Hospital, 55, Fogg Road, South Weymouth, Weymouth, Norfolk County, Massachusetts, 02190, United States
SOUTH WEYMOUTH, MA 02190
Phone: (781) 624-8000
Type: Location
243 Charles St
Mass Eye and Ear
Boston, MA 02114
Phone: (617) 804-4721
Type: Location
163 LIBBEY PKWY STE 301
WEYMOUTH, MA 021893118
Phone: (781) 337-4224
Fax: (781) 335-0429
Type: Mailing
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: 2018-10-10
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
1
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 |
|---|---|---|---|---|
| I20181010002396 | I | Certified Registered Nurse Anesthetist (Crna) | MA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 16 | 16 | $0 |
Insurance plans in this area (ZIP 02190)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MA | |
| Certified Registered Nurse Anesthetist (Crna) | MA | |
| Certified Registered Nurse Anesthetist (Crna) | MA | |
| Certified Registered Nurse Anesthetist (Crna) | MA | |
| Nurse Practitioner | MA | |
| Nurse Practitioner | MA | |
| Certified Registered Nurse Anesthetist (Crna) | MA | |
| Certified Registered Nurse Anesthetist (Crna) | RI | |
| P A T H O L O G Y | MA | |
| Certified Registered Nurse Anesthetist (Crna) | MA |
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