NATHAN SEEDALL (CRNA) – Certified Registered Nurse Anesthetist, NPI 1992740716

NATHAN SEEDALL (CRNA) is a healthcare provider. based in Jackson, Michigan. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. N-26642 (ID). The NPI Number for NATHAN SEEDALL (CRNA) is 1992740716

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
NATHAN SEEDALL (CRNA)
NPI
1992740716
Phone
(866) 570-0077
Address
255 W MICHIGAN AVE
Enumeration Date
17 June 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2085296111
Graduation Year
2003 (23 years ago)
PAC ID
5890691521
Group Practice PAC ID
5193638781
Professional Enrollment ID
I20031211000795
Address ID
ID834047533ID3100XWAYX300
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

402 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in ID

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Provider Addresses for NATHAN SEEDALL (CRNA)

  • 255, West Michigan Avenue, Jackson, Jackson County, Michigan, 49201, United States

    JACKSON, MI 492012218

    Phone: (866) 570-0077

    Fax: (248) 479-0652

    Type: Mailing

  • Eastern Idaho Regional Medical Center, 3100, Channing Way, Idaho Falls, Bonneville County, Idaho, 83404, United States

    IDAHO FALLS, ID 834047533

    Phone: (208) 529-6269

    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: 2003-12-11

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
I20031211000795ICertified Registered Nurse Anesthetist (Crna)IDTBD

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 49201)

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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: 5193638781View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)ID
Certified Registered Nurse Anesthetist (Crna)ID
-MI
-ID
A N E S T H E S I O L O G YID
Certified Registered Nurse Anesthetist (Crna)ID
Certified Registered Nurse Anesthetist (Crna)ID
Certified Registered Nurse Anesthetist (Crna)ID
Certified Registered Nurse Anesthetist (Crna)ID

Reviews

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Frequently asked questions

Can I verify NATHAN SEEDALL (CRNA) with an NPI only?
You can start verification with NPI 1992740716 for NATHAN SEEDALL (CRNA), then check state licensing separately.
Does CMS list NATHAN SEEDALL (CRNA) as active?
Yes — NATHAN SEEDALL (CRNA) is active in the NPI listing used on this page.
What is NATHAN SEEDALL (CRNA)'s specialty?
The listing groups NATHAN SEEDALL (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What address line appears for NATHAN SEEDALL (CRNA)?
NATHAN SEEDALL (CRNA)'s geographic hint is Jackson, Michigan in our summary view.
Is the information about NATHAN SEEDALL (CRNA) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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