ROBERT S WALDON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1912909417

ROBERT S WALDON (CRNA) is a healthcare provider. based in Andover, Minnesota. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 632 (MN). The NPI Number for ROBERT S WALDON (CRNA) is 1912909417

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT S WALDON (CRNA)
NPI
1912909417
Phone
Not provided
Address
3479 142ND LN NW
Enumeration Date
15 August 2005
Last Update Date
23 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3202583090
Graduation Year
2002 (24 years ago)
PAC ID
3375436728
Group Practice PAC ID
2466363395
Professional Enrollment ID
I20040207000388
Address ID
MN563032253SA3701XNXXX404
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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

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Provider Addresses for ROBERT S WALDON (CRNA)

  • 3479, 142nd Lane Northwest, Andover, Anoka County, Minnesota, 55304, United States

    ANDOVER, MN 553043245

    Phone:

    Type: Mailing

  • Abbott Northwestern Hospital, 800, East 28th Street, Midtown Phillips, Phillips, Minneapolis, Hennepin County, Minnesota, 55407, United States

    MINNEAPOLIS, MN 554073723

    Phone: (612) 863-4000

    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: 2004-02-07

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
I20040207000388ICertified Registered Nurse Anesthetist (Crna)MNTBD

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
00562Anesthesia for procedure on heart and large blood vessels using heart-lung machine (1 year or older)2727$0
00567Anesthesia for heart artery bypass grafting on heart-lung machine1212$0
View full utilization report →

Insurance plans in this area (ZIP 55304)

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Provider's Procedures

ROBERT S WALDON (CRNA) performs procedures in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETMN00142Anesthesia for lens surgery8276

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: 2466363395View full group profile

Reviews

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Frequently asked questions

Can I cross-check ROBERT S WALDON (CRNA) using NPI 1912909417?
NPI 1912909417 belongs to ROBERT S WALDON (CRNA); compare other details if you need extra assurance.
Would ROBERT S WALDON (CRNA) appear as active to a payer?
You can treat ROBERT S WALDON (CRNA) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to ROBERT S WALDON (CRNA)?
ROBERT S WALDON (CRNA)'s specialty line reads Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for ROBERT S WALDON (CRNA)?
Travel planning: use Andover, Minnesota as the reference point for ROBERT S WALDON (CRNA), then confirm.
Does ROBERT S WALDON (CRNA) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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