KEVIN JAMES MALTAIS (CRNA) – Certified Registered Nurse Anesthetist, NPI 1447346499
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,126 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in NC
Loading map...
Provider Addresses for KEVIN JAMES MALTAIS (CRNA)
400, East 10th Street, Interlaken West, Waconia, Carver County, Minnesota, 55387, United States
WACONIA, MN 553874552
Phone: (952) 442-9770
Type: Mailing
568, Ruin Creek Road, Henderson, Vance County, North Carolina, 27536, United States
SUITE 105
HENDERSON, NC 275362880
Phone: (252) 436-1380
Fax: (252) 436-1851
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2019-07-23
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190723000558 | I | Certified Registered Nurse Anesthetist (Crna) | FL | 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 |
|---|---|---|---|---|
| 00142 | Anesthesia for lens surgery | 25 | 25 | $0 |
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 24 | 24 | $0 |
| 00812 | Anesthesia for exam of colon using an endoscope | 15 | 15 | $0 |
Insurance plans in this area (ZIP 55387)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| A N E S T H E S I O L O G Y | FL | |
| Certified Registered Nurse Anesthetist (Crna) | MA | |
| A N E S T H E S I O L O G Y | FL | |
| Anesthesiology, Interventional Pain Management | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| - | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.