ANTHONY WENDELL MARCUKAITIS (CRNA) – Certified Registered Nurse Anesthetist, NPI 1063514438

ANTHONY WENDELL MARCUKAITIS (CRNA) is a healthcare provider. based in Delton, Michigan. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 4704215056 (MI). The NPI Number for ANTHONY WENDELL MARCUKAITIS (CRNA) is 1063514438

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
ANTHONY WENDELL MARCUKAITIS (CRNA)
NPI
1063514438
Phone
(517) 974-3236
Address
5862 MCKIBBIN RD
Enumeration Date
5 September 2006
Last Update Date
2 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2313928900
Graduation Year
2006 (20 years ago)
PAC ID
8921003716
Group Practice PAC ID
3072426287
Professional Enrollment ID
I20060929000303
Address ID
MI496847331TR4100XDRXX400
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

2,692 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MI

Provider Addresses for ANTHONY WENDELL MARCUKAITIS (CRNA)

  • 5862 MCKIBBIN RD

    DELTON, MI 490468791

    Phone: (517) 974-3236

    Fax: (269) 623-4466

    Type: Mailing

  • 850 W Baraga Ave

    Marquette, MI 498554550

    Phone: (906) 226-2569

    Type: Location

  • 8350 JOY RD

    KALEVA, MI 496459686

    Phone: (517) 974-3236

    Type: Mailing

  • 1585 THIRD ST

    FORT POLK, LA 714595102

    Phone: (337) 531-3517

    Type: Location

  • Battle Creek, Calhoun County, Michigan, United States

    BATTLE CREEK, MI 490173307

    Phone: (616) 966-8000

    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: 2006-09-29

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060929000303ICertified Registered Nurse Anesthetist (Crna)MITBD

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
00812Anesthesia for exam of colon using an endoscope1414$0
01402Anesthesia for procedure for total knee joint replacement1414$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1111$0
View full utilization report →

Insurance plans in this area (ZIP 49046)

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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: 3072426287View full group profile

Reviews

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Frequently asked questions

How do payers reference ANTHONY WENDELL MARCUKAITIS (CRNA)?
For ANTHONY WENDELL MARCUKAITIS (CRNA), use NPI 1063514438 as the unique 10-digit identifier.
Active or inactive — what applies to ANTHONY WENDELL MARCUKAITIS (CRNA)?
You should see ANTHONY WENDELL MARCUKAITIS (CRNA) as active in CMS-hosted NPPES data.
What kind of doctor is ANTHONY WENDELL MARCUKAITIS (CRNA)?
ANTHONY WENDELL MARCUKAITIS (CRNA) is associated with Certified Registered Nurse Anesthetist in the directory — Clinical services aligned with this taxonomy classification.
Is ANTHONY WENDELL MARCUKAITIS (CRNA) located near Delton?
ANTHONY WENDELL MARCUKAITIS (CRNA) currently maps to Delton, Michigan in this extract.
When was this NPI issued?
Enumeration for ANTHONY WENDELL MARCUKAITIS (CRNA) is noted as September 5, 2006 where the registry provides it.

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