MRS. REBECCA RANGE (CRNA) – Certified Registered Nurse Anesthetist, NPI 1073790747
Certified Registered Nurse Anesthetist
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Profile Insights
NPPES metrics only — not quality of care.
2,265 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IL
Provider Addresses for MRS. REBECCA RANGE (CRNA)
13523 BARRETT PARKWAY DRIVE
SUITE 104
BALLWIN, MO 630213802
Phone: (636) 938-6868
Fax: (636) 938-1486
Type: Mailing
1 Saint Elizabeth Blvd
O Fallon, IL 622691099
Phone: (618) 234-2120
Fax: (618) 541-5810
Type: Location
311 West Lincoln
Suite 300
Belleville, IL 622201921
Phone: (618) 233-7077
Type: Location
Belleville, Lincoln County, Tennessee, United States
SUITE 300
BELLEVILLE, IL 622201921
Phone: (618) 233-7077
Type: Location
6501 N 19TH AVE
PHOENIX, AZ 850151646
Phone: (602) 795-6020
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: 2023-11-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20040924000022 | I | Certified Registered Nurse Anesthetist (Crna) | MO | TBD |
| I20041025001080 | I | Certified Registered Nurse Anesthetist (Crna) | IL | TBD |
| I20231128002252 | I | Certified Registered Nurse Anesthetist (Crna) | AZ | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 63021)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Anesthesiology Assistant | MO | |
| Pediatric Medicine, Hematology/Oncology | TN | |
| Nurse Practitioner | IL | |
| Pediatric Medicine | IL | |
| G A S T R O E N T E R O L O G Y | WV | |
| Pediatric Medicine, Cardiovascular Disease (Cardiology) | MO | |
| Infectious Disease | OH | |
| Physician Assistant | MO | |
| Pediatric Medicine, Cardiovascular Disease (Cardiology) | MO | |
| Pulmonary Disease | NY |
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