BETH CROFUT (CRNA) – Anesthesiology Physician, NPI 1104884170

BETH CROFUT (CRNA) is a healthcare provider. based in Grand ledge, Michigan. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 4704236481 (MI). The NPI Number for BETH CROFUT (CRNA) is 1104884170

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
BETH CROFUT (CRNA)
NPI
1104884170
Phone
Not provided
Address
806 GREENWICH DR
Enumeration Date
1 May 2006
Last Update Date
1 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5125931945
Graduation Year
2002 (24 years ago)
PAC ID
1254348014
Group Practice PAC ID
3678987534
Professional Enrollment ID
I20060320000444
Address ID
MI484508324LE7276XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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

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Provider Addresses for BETH CROFUT (CRNA)

  • 806 GREENWICH DR

    GRAND LEDGE, MI 488372412

    Phone:

    Type: Mailing

  • Telegraph Road, Bingham Farms, Southfield Township, Oakland County, Michigan, 48301, United States

    SUITE 220

    BINGHAM FARMS, MI 480254502

    Phone: (248) 258-5058

    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: 2006-03-20

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
I20060320000444ICertified 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
00142Anesthesia for lens surgery247225$0
00103Anesthesia for procedure on eyelid3636$0
00140Anesthesia for other procedure on eye3330$0
00300Anesthesia for other procedure on skin, muscles, or nerves of head, neck, and upper back2321$0
00145Anesthesia for retinal surgery1413$0
View full utilization report →

Insurance plans in this area (ZIP 48837)

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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: 3678987534View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)HI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)MI

Reviews

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Frequently asked questions

What identifier follows BETH CROFUT (CRNA) across health systems?
The NPI 1104884170 uniquely identifies BETH CROFUT (CRNA) in U.S. healthcare data.
Quick check: is BETH CROFUT (CRNA) active?
Public NPPES data shows BETH CROFUT (CRNA) with an active NPI status right now.
What services align with BETH CROFUT (CRNA)'s listing?
BETH CROFUT (CRNA)'s public classification highlights Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit BETH CROFUT (CRNA) in Grand Ledge, Michigan?
For routing, start with Grand Ledge, Michigan for BETH CROFUT (CRNA), then verify phone and hours locally.
Can I export BETH CROFUT (CRNA)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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