JOHN PUSTA (CRNA) – Certified Registered Nurse Anesthetist, NPI 1346786068

JOHN PUSTA (CRNA) is a healthcare provider. based in Grand rapids, Michigan. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 4704282603 (MI). The NPI Number for JOHN PUSTA (CRNA) is 1346786068

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
JOHN PUSTA (CRNA)
NPI
1346786068
Phone
Not provided
Address
200 JEFFERSON AVE SE
Enumeration Date
19 January 2017
Last Update Date
19 January 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2488493000
Graduation Year
2006 (20 years ago)
PAC ID
4082991245
Group Practice PAC ID
6103738703
Professional Enrollment ID
I20170426001572
Address ID
MI480754818SO16001RDXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

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

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Provider Addresses for JOHN PUSTA (CRNA)

  • Mercy Health Saint Mary's, 200, Jefferson Avenue Southeast, Heritage Hill Historic District, Grand Rapids, Kent County, Michigan, 49503, United States

    GRAND RAPIDS, MI 495034502

    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)

CMS reports 8 Open Payments records for all available years, with a total value of $129.

Total Amount is formed as General ($129) + Research ($0) + Ownership ($0) = $129.

Last reported payment date: 2024-09-10 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($110).

Total Amount

$129

General + Research + Ownership

Payments

8

Total payment records

General Amount

$129

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2017-04-26

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
I20170426001572ICertified 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 49503)

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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: 6103738703View full group profile
NameSpecialtyState
-MI
Nurse PractitionerMI
-MI
Nurse PractitionerME
Internal MedicineMI
E N D O C R I N O L O G YMI
-MI
-MI
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineMI
Internal MedicineMI

Reviews

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Frequently asked questions

Is there an official ID for JOHN PUSTA (CRNA) in U.S. healthcare records?
The official identifier for JOHN PUSTA (CRNA) is NPI 1346786068.
Active or inactive — what applies to JOHN PUSTA (CRNA)?
You should see JOHN PUSTA (CRNA) as active in CMS-hosted NPPES data.
How would a patient describe JOHN PUSTA (CRNA)'s focus?
For JOHN PUSTA (CRNA), the primary taxonomy reads as Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What locale is associated with JOHN PUSTA (CRNA)?
Directory geography for JOHN PUSTA (CRNA) centers on Grand Rapids, Michigan.
When was this NPI issued?
Enumeration for JOHN PUSTA (CRNA) is noted as January 19, 2017 where the registry provides it.

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