HADLEY ANNE KNUDSEN (CRNA) – Certified Registered Nurse Anesthetist, NPI 1477125458

HADLEY ANNE KNUDSEN (CRNA) is a healthcare provider. based in Fenton, Michigan. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 4704370321 (MI). The NPI Number for HADLEY ANNE KNUDSEN (CRNA) is 1477125458

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
HADLEY ANNE KNUDSEN (CRNA)
NPI
1477125458
Phone
(810) 444-2553
Address
8054 DRIFTWOOD DR
Enumeration Date
11 July 2021
Last Update Date
24 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2313928900
Graduation Year
2023 (3 years ago)
PAC ID
3274971643
Group Practice PAC ID
3072426287
Professional Enrollment ID
I20240403004334
Address ID
MI496847331TR4100XDRXX400
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 HADLEY ANNE KNUDSEN (CRNA)

  • 8054 DRIFTWOOD DR

    FENTON, MI 484308961

    Phone: (810) 444-2553

    Type: Location

  • 8054 Driftwood Dr

    Fenton, MI 484308961

    Phone: (810) 444-2553

    Type: Location

  • 1105 SIXTH ST

    TRAVERSE CITY, MI 496842386

    Phone: (231) 935-5000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $135.

Total Amount is formed as General ($135) + Research ($0) + Ownership ($0) = $135.

Last reported payment date: 2024-03-21 • Largest payer in this snapshot: Davol Inc. ($135).

Total Amount

$135

General + Research + Ownership

Payments

1

Total payment records

General Amount

$135

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-21

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Davol Inc.$135
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: 2024-04-03

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
I20240403004334ICertified 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 48430)

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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: 3072426287View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm HADLEY ANNE KNUDSEN (CRNA)'s NPI?
Yes. HADLEY ANNE KNUDSEN (CRNA) is listed with NPI 1477125458 in the public NPI dataset.
Is HADLEY ANNE KNUDSEN (CRNA) still practicing?
HADLEY ANNE KNUDSEN (CRNA) is currently listed as active in the public NPI registry.
What is HADLEY ANNE KNUDSEN (CRNA)'s primary classification?
Certified Registered Nurse Anesthetist is the headline specialty for HADLEY ANNE KNUDSEN (CRNA) here. Clinical services aligned with this taxonomy classification.
Does HADLEY ANNE KNUDSEN (CRNA) list a practice location?
Patients near Fenton, Michigan may find HADLEY ANNE KNUDSEN (CRNA) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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