DAVY J DESOTO (CRNA) – Certified Registered Nurse Anesthetist, NPI 1124317920

DAVY J DESOTO (CRNA) is a healthcare provider. based in Jackson, Michigan. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. AP06431 (LA). The NPI Number for DAVY J DESOTO (CRNA) is 1124317920

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
DAVY J DESOTO (CRNA)
NPI
1124317920
Phone
(800) 242-1131
Address
255 W MICHIGAN AVE
Enumeration Date
1 April 2011
Last Update Date
18 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4482278478
Graduation Year
2010 (16 years ago)
PAC ID
6204012164
Group Practice PAC ID
6901099688
Professional Enrollment ID
I20220906000835
Address ID
FL325032254PE123XXWAYX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:15State licenses:2Digital endpointsOther names

1,619 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in LA

Provider Addresses for DAVY J DESOTO (CRNA)

  • 255 W MICHIGAN AVE

    JACKSON, MI 492012218

    Phone: (800) 242-1131

    Type: Mailing

  • 3510 N CAUSEWAY BLVD STE 404

    METAIRIE, LA 700023531

    Phone: (504) 779-5515

    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: 2022-09-06

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220906000835ICertified Registered Nurse Anesthetist (Crna)FLTBD

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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2121$0
01938Anesthesia for injection, drainage or aspiration procedures on spine or spinal cord of lower back accessed through skin using imaging guidance1616$0
00670Anesthesia for extensive surgery on spine1313$0
01922Anesthesia for x-ray or radiation therapy1111$0
View full utilization report →

Insurance plans in this area (ZIP 49201)

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Provider's Procedures

DAVY J DESOTO (CRNA) performs procedures in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETLA00790Anesthesia for procedure in upper abdomen including use of an endoscope1111

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: 6901099688View full group profile
NameSpecialtyState
-FL
-AL
-FL
Certified Registered Nurse Anesthetist (Crna)FL
-AL
Certified Registered Nurse Anesthetist (Crna)TN
A N E S T H E S I O L O G YCO
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)CA

Reviews

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Frequently asked questions

Does DAVY J DESOTO (CRNA) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DAVY J DESOTO (CRNA) uses 1124317920.
Does CMS list DAVY J DESOTO (CRNA) as active?
Yes — DAVY J DESOTO (CRNA) is active in the NPI listing used on this page.
What is DAVY J DESOTO (CRNA)'s primary classification?
Certified Registered Nurse Anesthetist is the headline specialty for DAVY J DESOTO (CRNA) here. Clinical services aligned with this taxonomy classification.
Where is DAVY J DESOTO (CRNA) based?
DAVY J DESOTO (CRNA) is tied to Jackson, Michigan in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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