KRISTOPHER MICHAEL MATELIC (CRNA) – Certified Registered Nurse Anesthetist, NPI 1407243835
Certified Registered Nurse Anesthetist
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,692 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MI
Provider Addresses for KRISTOPHER MICHAEL MATELIC (CRNA)
3990 JOHN R ST
DETROIT, MI 482012018
Phone: (313) 745-2000
Type: Location
4106 MERRICK ST
DEARBORN HEIGHTS, MI 481252854
Phone: (734) 778-0262
Type: Mailing
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.
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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: 2025-08-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150724011100 | I | Certified Registered Nurse Anesthetist (Crna) | MI | TBD |
| I20230118001068 | I | Certified Registered Nurse Anesthetist (Crna) | WA | TBD |
| I20250807002088 | I | Certified Registered Nurse Anesthetist (Crna) | AK | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 41 | 41 | $0 |
| 00520 | Anesthesia for other closed procedure on chest | 16 | 16 | $0 |
| 36620 | Insertion of artery tube for blood sampling or infusion through skin | 14 | 14 | $0 |
| 00732 | Anesthesia for procedure on gallbladder, pancreas, or liver using an endoscope | 11 | 11 | $0 |
Insurance plans in this area (ZIP 48201)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | LA | |
| Certified Registered Nurse Anesthetist (Crna) | AK | |
| A N E S T H E S I O L O G Y | MD | |
| P S Y C H I A T R Y | WA | |
| H O S P I T A L I S T | CA | |
| Emergency Medicine | AK | |
| U R O L O G Y | AK | |
| Certified Registered Nurse Anesthetist (Crna) | ID | |
| Family Practice | AK | |
| - | AK |
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