JOHN ABBOTT (CRNA) – Certified Registered Nurse Anesthetist, NPI 1326004029

JOHN ABBOTT (CRNA) is a healthcare provider. based in Traverse city, Michigan. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 4704185293 (MI). The NPI Number for JOHN ABBOTT (CRNA) is 1326004029

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
JOHN ABBOTT (CRNA)
NPI
1326004029
Phone
Not provided
Address
4100 PARK FOREST DR
Enumeration Date
22 April 2006
Last Update Date
23 March 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2488865555
Graduation Year
1991 (35 years ago)
PAC ID
7012959927
Group Practice PAC ID
6901090489
Professional Enrollment ID
I20050601000356
Address ID
MI483271973WA5220XRDXX306
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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

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Provider Addresses for JOHN ABBOTT (CRNA)

  • Park Forest Drive, Brookside, Garfield Township, Grand Traverse County, Michigan, 49684, United States

    SUITE 210

    TRAVERSE CITY, MI 49684

    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: 2005-06-01

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
I20050601000356ICertified 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
00811Anesthesia for other procedure on large bowel using an endoscope1614$0
00813Anesthesia for procedure on small and large bowel using an endoscope1212$0
View full utilization report →

Insurance plans in this area (ZIP 49684)

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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: 6901090489View full group profile
NameSpecialtyState
-MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
-MI
-IL

Reviews

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Frequently asked questions

Does JOHN ABBOTT (CRNA) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JOHN ABBOTT (CRNA) uses 1326004029.
Can I rely on JOHN ABBOTT (CRNA) being an active provider?
As of the registry snapshot, JOHN ABBOTT (CRNA) is marked active.
What is JOHN ABBOTT (CRNA)'s specialty?
The listing groups JOHN ABBOTT (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where is JOHN ABBOTT (CRNA) based?
JOHN ABBOTT (CRNA) is tied to Traverse City, Michigan in the data we show; additional addresses may exist on the full record.
Why does JOHN ABBOTT (CRNA) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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