MARK RANDALL NOLES (CRNA) – Certified Registered Nurse Anesthetist, NPI 1033552518

MARK RANDALL NOLES (CRNA) is a healthcare provider. based in Kimberling city, Missouri. specializing in Certified Registered Nurse Anesthetist. They hold the professional credentials CRNA. They hold a License No. 3121 (NC). The NPI Number for MARK RANDALL NOLES (CRNA) is 1033552518

Main info

Male
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
MARK RANDALL NOLES (CRNA)
NPI
1033552518
Phone
(501) 590-4790
Address
64 NORTHWOODS DR
Enumeration Date
15 April 2013
Last Update Date
16 May 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9198739533
Graduation Year
2012 (14 years ago)
PAC ID
6002058724
Group Practice PAC ID
2961316450
Professional Enrollment ID
I20130808000940
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:13State licenses:2Digital endpointsOther names

Provider Addresses for MARK RANDALL NOLES (CRNA)

  • 64 NORTHWOODS DR

    KIMBERLING CITY, MO 656869625

    Phone: (501) 590-4790

    Type: Mailing

  • 4106 DUBLIN CT

    BURLINGTON, NC 272159491

    Phone: (501) 590-4790

    Type: Mailing

  • 1240 HUFFMAN MILL RD

    BURLINGTON, NC 272158700

    Phone: (501) 590-4790

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $7,076.

Total Amount is formed as General ($7,076) + Research ($0) + Ownership ($0) = $7,076.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Paragonix Technologies, Inc. ($6,760).

Total Amount

$7,076

General + Research + Ownership

Payments

19

Total payment records

General Amount

$7,076

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

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: 2013-08-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-08-31 (1014 days ago).

Enrollment records

1

Earliest due date

2023-08-31

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
I20130808000940ICertified Registered Nurse Anesthetist (Crna)NC2023-08-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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
00811Anesthesia for other procedure on large bowel using an endoscope3636$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2828$0
01402Anesthesia for procedure for total knee joint replacement1616$0
00812Anesthesia for exam of colon using an endoscope1111$0
View full utilization report →

Insurance plans in this area (ZIP 65686)

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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: 2961316450View full group profile
NameSpecialtyState
Anesthesiology AssistantNC
Certified Registered Nurse Anesthetist (Crna)TN
-NC
-NC
-NC
-NC
-NC
Certified Registered Nurse Anesthetist (Crna)FL
-NC
Certified Registered Nurse Anesthetist (Crna)SC

Reviews

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Frequently asked questions

Where can patients find MARK RANDALL NOLES (CRNA)'s NPI?
You can confirm MARK RANDALL NOLES (CRNA) with NPI 1033552518; it appears in the national provider directory.
Is MARK RANDALL NOLES (CRNA)'s NPI currently valid?
The extract we use shows MARK RANDALL NOLES (CRNA) as active.
What does MARK RANDALL NOLES (CRNA) treat or focus on?
Patients typically see MARK RANDALL NOLES (CRNA) under the specialty Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Does MARK RANDALL NOLES (CRNA) practice in Missouri?
You will see Kimberling City, Missouri on file for MARK RANDALL NOLES (CRNA) alongside any extra practice locations.
Is MARK RANDALL NOLES (CRNA) a real provider?
This page reflects official NPPES data for NPI 1033552518. Always confirm identity and privileges with the practice and licensing boards.

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