QUINN LEROY – Certified Registered Nurse Anesthetist, NPI 1235700246

QUINN LEROY is a healthcare provider. based in Ishpeming, Michigan. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 4704340952 (MI). The NPI Number for QUINN LEROY is 1235700246

Main info

Male
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
QUINN LEROY
NPI
1235700246
Phone
Not provided
Address
633 COOPER LAKE RD
Enumeration Date
9 July 2021
Last Update Date
11 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9064831000
Graduation Year
2023 (3 years ago)
PAC ID
6305292368
Group Practice PAC ID
5890855019
Professional Enrollment ID
I20231026003125
Address ID
MI499301452HA500XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

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

Provider Addresses for QUINN LEROY

  • 633 COOPER LAKE RD

    ISHPEMING, MI 498493362

    Phone:

    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: 2023-10-26

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
I20231026003125ICertified 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49849)

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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: 5890855019View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
-MI
A N E S T H E S I O L O G YMI
A N E S T H E S I O L O G YOH
Anesthesiology, Pain ManagementIA
A N E S T H E S I O L O G YMI
-MI
A N E S T H E S I O L O G YOH
A N E S T H E S I O L O G YMI

Reviews

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Frequently asked questions

What is the standard ID for QUINN LEROY in the U.S.?
In the U.S., QUINN LEROY is identified by NPI 1235700246.
Is QUINN LEROY currently accepting referrals based on NPI status?
Registry metadata lists QUINN LEROY as active.
What type of care does QUINN LEROY provide?
QUINN LEROY's profile centers on Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Which community is linked to QUINN LEROY?
QUINN LEROY shows a connection to Ishpeming, Michigan in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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