CHRISTIE TATSUYAMA – Certified Registered Nurse Anesthetist, NPI 1578096400

CHRISTIE TATSUYAMA is a healthcare provider. based in Rochester, Minnesota. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. CRNA 2054 (MN). The NPI Number for CHRISTIE TATSUYAMA is 1578096400

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTIE TATSUYAMA
NPI
1578096400
Phone
(808) 398-1709
Address
609 1st St SW Apt 404
Enumeration Date
7 April 2017
Last Update Date
4 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4088511000
Graduation Year
2017 (9 years ago)
PAC ID
3678850112
Group Practice PAC ID
8921910225
Professional Enrollment ID
I20170824002315
Address ID
CA950515173SA710XXWAYX400

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:9State licenses:2Other namesUpdated within 12 months

2,131 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MN

Provider Addresses for CHRISTIE TATSUYAMA

  • 609 1st St SW Apt 404

    Rochester, MN 559026406

    Phone: (808) 398-1709

    Type: Location

  • 1027, Valerian Way, Sunnyvale, Santa Clara County, California, 94086, United States

    SUNNYVALE, CA 940869157

    Phone: (808) 398-1709

    Type: Mailing

  • 106 Gift Gallery, 700, Lawrence Expressway, Santa Clara, Santa Clara County, California, 95014-0721, United States

    SANTA CLARA, CA 950515173

    Phone: (808) 398-1709

    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: 2017-08-24

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
I20170824002315ICertified Registered Nurse Anesthetist (Crna)CATBD

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 55902)

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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: 8921910225View full group profile
NameSpecialtyState
Emergency MedicineDC
Colorectal Surgery (Proctology), General SurgeryLA
-CA
N E U R O S U R G E R YMA
Internal MedicineCA
Nurse PractitionerCA
Internal MedicineCA
Emergency MedicineCA
-MA
Emergency MedicineCA

Reviews

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Frequently asked questions

What number should I use to identify CHRISTIE TATSUYAMA for billing?
Administrative and clinical systems typically use NPI 1578096400 for CHRISTIE TATSUYAMA.
Should I treat CHRISTIE TATSUYAMA as an active provider?
Patients and plans typically see CHRISTIE TATSUYAMA as active in the national extract.
What type of care does CHRISTIE TATSUYAMA provide?
CHRISTIE TATSUYAMA's profile centers on Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Which community is linked to CHRISTIE TATSUYAMA?
CHRISTIE TATSUYAMA shows a connection to Rochester, Minnesota in registry-derived data.
Why is information missing for CHRISTIE TATSUYAMA?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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