TAMARA DAVILA (CRNA) – Certified Registered Nurse Anesthetist, NPI 1760628713

TAMARA DAVILA (CRNA) is a healthcare provider. based in Clarkston, Michigan. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 4704248191 (MI). The NPI Number for TAMARA DAVILA (CRNA) is 1760628713

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
TAMARA DAVILA (CRNA)
NPI
1760628713
Phone
(248) 563-6323
Address
6628 COLLEGE PARK
Enumeration Date
22 December 2008
Last Update Date
5 July 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8107327700
Graduation Year
2008 (18 years ago)
PAC ID
2163576299
Group Practice PAC ID
7113818980
Professional Enrollment ID
I20090824000566
Address ID
MI485071040FL5202XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

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

Provider Addresses for TAMARA DAVILA (CRNA)

  • 6628 COLLEGE PARK

    CLARKSTON, MI 483461065

    Phone: (248) 563-6323

    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 7 Open Payments records for all available years, with a total value of $137.

Total Amount is formed as General ($137) + Research ($0) + Ownership ($0) = $137.

Last reported payment date: 2024-11-15 • Largest payer in this snapshot: Janssen Biotech, Inc. ($48).

Total Amount

$137

General + Research + Ownership

Payments

7

Total payment records

General Amount

$137

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-15

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2009-08-24

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
I20090824000566ICertified 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
00142Anesthesia for lens surgery2726$0
01402Anesthesia for procedure for total knee joint replacement1817$0
01630Anesthesia for other procedure on top of arm bone and shoulder joint1414$0
01400Anesthesia for other procedure or exam of knee joint using an endoscope1313$0
01810Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand1312$0
View full utilization report →

Insurance plans in this area (ZIP 48346)

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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: 7113818980View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
-MI
Certified Registered Nurse Anesthetist (Crna)MI
A N E S T H E S I O L O G YMI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)OH
A N E S T H E S I O L O G YMI

Reviews

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Frequently asked questions

Where can patients find TAMARA DAVILA (CRNA)'s NPI?
You can confirm TAMARA DAVILA (CRNA) with NPI 1760628713; it appears in the national provider directory.
Does this profile mean TAMARA DAVILA (CRNA) is currently active?
Yes — TAMARA DAVILA (CRNA) appears active in the national provider directory.
Can you summarize TAMARA DAVILA (CRNA)'s specialty in plain language?
Clinically, the directory lists TAMARA DAVILA (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What location shows for TAMARA DAVILA (CRNA)?
We surface Clarkston, Michigan for TAMARA DAVILA (CRNA) based on available NPPES addresses.
How can I contact TAMARA DAVILA (CRNA)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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