MARY E KOTERBA (CRNA) – Certified Registered Nurse Anesthetist, NPI 1699754820
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,692 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MI
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Provider Addresses for MARY E KOTERBA (CRNA)
900, Peeler Street, Kalamazoo, Kalamazoo County, Michigan, 49008, United States
KALAMAZOO, MI 490082300
Phone: (269) 345-8618
Fax: (269) 345-1508
Type: Mailing
900 Peeler St
Kalamazoo, MI 490082300
Phone: (269) 345-8618
Fax: (269) 345-1508
Type: Location
1025 MAINE ST
QUINCY, IL 623014096
Phone: (217) 222-6550
Type: Mailing
3301 BROADWAY ST
QUINCY, IL 623013713
Phone: (217) 222-6550
Type: Location
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: 2019-08-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20061227000057 | I | Certified Registered Nurse Anesthetist (Crna) | IL | TBD |
| I20190815002204 | I | Certified Registered Nurse Anesthetist (Crna) | MI | 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 |
|---|---|---|---|---|
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 25 | 25 | $0 |
| 00910 | Anesthesia for other procedure on urinary system through urethra | 17 | 17 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 14 | 14 | $0 |
| 00142 | Anesthesia for lens surgery | 13 | 13 | $0 |
Insurance plans in this area (ZIP 49008)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Cardiovascular Disease (Cardiology) | IL | |
| Clinical Social Worker | IL | |
| Nurse Practitioner | IL | |
| - | IL | |
| A N E S T H E S I O L O G Y | IN | |
| Nurse Practitioner | IL | |
| P S Y C H I A T R Y | IN | |
| Family Practice | IL | |
| Emergency Medicine | IL |
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