DEREK PAUL ROUSE (CRNA) – Certified Registered Nurse Anesthetist, NPI 1053704270
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,692 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MI
Provider Addresses for DEREK PAUL ROUSE (CRNA)
900 PEELER ST
KALAMAZOO, MI 490082300
Phone: (269) 345-8618
Fax: (269) 345-1508
Type: Location
2542 TUSON DR
APT 1B
WATERFORD, MI 483293366
Phone: (248) 408-6964
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $65.
Total Amount is formed as General ($65) + Research ($0) + Ownership ($0) = $65.
Last reported payment date: 2024-06-13 • Largest payer in this snapshot: Heron Therapeutics, Inc. ($46).
Total Amount
$65
General + Research + Ownership
Payments
3
Total payment records
General Amount
$65
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Heron Therapeutics, Inc. | $46 |
| Merck Sharp & Dohme LLC | $19 |
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: 2015-05-06
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 |
|---|---|---|---|---|
| I20150506000272 | I | Certified Registered Nurse Anesthetist (Crna) | MI | 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 49008)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| A N E S T H E S I O L O G Y | AL | |
| A N E S T H E S I O L O G Y | AL | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| A N E S T H E S I O L O G Y | AL | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Cardiac Electrophysiology | VA | |
| Physician Assistant | MI | |
| A N E S T H E S I O L O G Y | MI | |
| - | MI | |
| Cardiovascular Disease (Cardiology) | MI |
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