CAROL A KOCH (CRNA) – Certified Registered Nurse Anesthetist, NPI 1215940655

CAROL A KOCH (CRNA) is a healthcare provider. based in Wyandotte, Michigan. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 4704166129 (MI). The NPI Number for CAROL A KOCH (CRNA) is 1215940655

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
CAROL A KOCH (CRNA)
NPI
1215940655
Phone
(734) 324-3697
Address
2333 BIDDLE ST
Enumeration Date
15 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7342810100
Graduation Year
1998 (28 years ago)
PAC ID
1355518341
Group Practice PAC ID
8921077249
Professional Enrollment ID
I20120113000564
Address ID
MI481952501SO14050RDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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

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Provider Addresses for CAROL A KOCH (CRNA)

  • Biddle Subdivision, Wyandotte, Wayne County, Michigan, United States

    WYANDOTTE, MI 481924668

    Phone: (734) 324-3697

    Fax: (734) 324-3425

    Mailing address matches the actual address.

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: 2012-01-13

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
I20120113000564ICertified 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 surgery5554$0
View full utilization report →

Insurance plans in this area (ZIP 48192)

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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: 8921077249View full group profile
NameSpecialtyState
Anesthesiology, Interventional Pain ManagementMI
-FL
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
A N E S T H E S I O L O G YMI
-AR
-MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI

Reviews

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Frequently asked questions

What is the registry number for CAROL A KOCH (CRNA)?
The registry entry for CAROL A KOCH (CRNA) shows NPI 1215940655.
Should I treat CAROL A KOCH (CRNA) as an active provider?
Patients and plans typically see CAROL A KOCH (CRNA) as active in the national extract.
How should patients interpret CAROL A KOCH (CRNA)'s specialty?
The extract shows Certified Registered Nurse Anesthetist for CAROL A KOCH (CRNA). Clinical services aligned with this taxonomy classification.
Is CAROL A KOCH (CRNA) tied to Wyandotte, Michigan?
If you are local to Wyandotte, Michigan, CAROL A KOCH (CRNA) may be relevant to your search.
Can I export CAROL A KOCH (CRNA)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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