MYRA RAY (CRNA) – Certified Registered Nurse Anesthetist, NPI 1588772016

MYRA RAY (CRNA) is a healthcare provider. based in Portage, Michigan. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. ARNP9223618 (FL). The NPI Number for MYRA RAY (CRNA) is 1588772016

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
MYRA RAY (CRNA)
NPI
1588772016
Phone
(269) 321-9090
Address
7240 MACKENZIE LN
Enumeration Date
25 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2693239950
Graduation Year
2004 (22 years ago)
PAC ID
4486694148
Group Practice PAC ID
6103354329
Professional Enrollment ID
I20070119000039
Address ID
MI490244889PO3200XAVEX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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

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Provider Addresses for MYRA RAY (CRNA)

  • 7240, Mackenzie Lane, Portage, Kalamazoo County, Michigan, 49024, United States

    PORTAGE, MI 490244414

    Phone: (269) 321-9090

    Fax: (269) 321-9098

    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 3 Open Payments records for all available years, with a total value of $50.

Total Amount is formed as General ($50) + Research ($0) + Ownership ($0) = $50.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($50).

Total Amount

$50

General + Research + Ownership

Payments

3

Total payment records

General Amount

$50

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$50
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: 2007-01-19

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
I20070119000039ICertified 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
01402Anesthesia for procedure for total knee joint replacement1313$0
View full utilization report →

Insurance plans in this area (ZIP 49024)

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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: 6103354329View full group profile
NameSpecialtyState
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
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)KY
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI

Reviews

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Frequently asked questions

Does MYRA RAY (CRNA) have a public NPI I can cite?
Public records show MYRA RAY (CRNA) under NPI 1588772016.
Does the public listing show MYRA RAY (CRNA) as active?
MYRA RAY (CRNA)'s NPI record reflects an active status in NPPES.
How should patients interpret MYRA RAY (CRNA)'s specialty?
The extract shows Certified Registered Nurse Anesthetist for MYRA RAY (CRNA). Clinical services aligned with this taxonomy classification.
Can patients visit MYRA RAY (CRNA) in Portage, Michigan?
For routing, start with Portage, Michigan for MYRA RAY (CRNA), then verify phone and hours locally.
Why is information missing for MYRA RAY (CRNA)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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