NICHOLAS RICHARD BENDA (CRNA) – Registered Nurse, NPI 1568033678

NICHOLAS RICHARD BENDA (CRNA) is a healthcare provider. based in Negaunee, Michigan. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 4704362384 (MI). The NPI Number for NICHOLAS RICHARD BENDA (CRNA) is 1568033678

Main info

Male
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
NICHOLAS RICHARD BENDA (CRNA)
NPI
1568033678
Phone
(906) 371-0053
Address
47 LONGYEAR DR
Enumeration Date
9 July 2021
Last Update Date
23 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9062262569100
Graduation Year
2023 (3 years ago)
PAC ID
8527421122
Group Practice PAC ID
6103851712
Professional Enrollment ID
I20230830001314
Address ID
MI498554550MA850XXAVEX484
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 NICHOLAS RICHARD BENDA (CRNA)

  • 47 LONGYEAR DR

    NEGAUNEE, MI 498669602

    Phone: (906) 371-0053

    Type: Mailing

  • 4410 COUNTY ROAD CN

    CHAMPION, MI 498149696

    Phone: (906) 371-0053

    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.

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: 2023-08-30

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
I20230830001314ICertified 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 49866)

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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: 6103851712View full group profile
NameSpecialtyState
-MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Critical Care (Intensivists), HospitalistOH
-MI
A N E S T H E S I O L O G YMI
-MI

Reviews

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Frequently asked questions

What federal number belongs to NICHOLAS RICHARD BENDA (CRNA)?
The federal identifier for NICHOLAS RICHARD BENDA (CRNA) is NPI 1568033678.
Is NICHOLAS RICHARD BENDA (CRNA) active in the national directory?
NICHOLAS RICHARD BENDA (CRNA)'s public NPI profile is in an active state.
What kind of provider is NICHOLAS RICHARD BENDA (CRNA)?
The page reflects Registered Nurse for NICHOLAS RICHARD BENDA (CRNA). Clinical services aligned with this taxonomy classification.
Does NICHOLAS RICHARD BENDA (CRNA) practice in Michigan?
You will see Negaunee, Michigan on file for NICHOLAS RICHARD BENDA (CRNA) alongside any extra practice locations.
How can I contact NICHOLAS RICHARD BENDA (CRNA)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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