DANIEL E ROBERSON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1083172415

DANIEL E ROBERSON (CRNA) is a healthcare provider. based in Clinton, Missouri. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. D158561 (IA). The NPI Number for DANIEL E ROBERSON (CRNA) is 1083172415

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
DANIEL E ROBERSON (CRNA)
NPI
1083172415
Phone
(660) 885-5511
Address
1600 N 2ND ST
Enumeration Date
5 March 2019
Last Update Date
24 April 2026

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
6607472500
Graduation Year
2019 (7 years ago)
PAC ID
6901132851
Group Practice PAC ID
7416931506
Professional Enrollment ID
I20201014003405
Address ID
MO640933101WA403XXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness85
Years active:7State licenses:6Digital endpointsOther names

1,775 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MO

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Provider Addresses for DANIEL E ROBERSON (CRNA)

  • Golden Valley Memorial Hospital, 1600, North 2nd Street, Clinton, Henry County, Missouri, 64735, United States

    CLINTON, MO 647351192

    Phone: (660) 885-5511

    Fax: (660) 885-8493

    Type: Mailing

  • 2401 GILLHAM RD

    KANSAS CITY, MO 641084619

    Phone: (816) 234-3000

    Fax: (816) 302-9939

    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: 2020-10-14

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190730002563ICertified Registered Nurse Anesthetist (Crna)KSTBD
I20200505002335ICertified Registered Nurse Anesthetist (Crna)IATBD
I20201014003405ICertified Registered Nurse Anesthetist (Crna)MOTBD

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 64735)

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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: 7416931506View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TX
Nurse PractitionerMO
Hematology/Oncology, Internal MedicineGA
Physician AssistantNC
Internal Medicine, Hematology/OncologyGA
Hospitalist, Internal MedicineTX
A N E S T H E S I O L O G YMO
General SurgeryMO
Family Practice, Emergency MedicineKS
Certified Registered Nurse Anesthetist (Crna)KS

Reviews

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Frequently asked questions

Does DANIEL E ROBERSON (CRNA) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DANIEL E ROBERSON (CRNA) uses 1083172415.
Can I rely on DANIEL E ROBERSON (CRNA) being an active provider?
As of the registry snapshot, DANIEL E ROBERSON (CRNA) is marked active.
What taxonomy line describes DANIEL E ROBERSON (CRNA)?
For research purposes, treat DANIEL E ROBERSON (CRNA) as Certified Registered Nurse Anesthetist in this dataset. Clinical services aligned with this taxonomy classification.
Where is DANIEL E ROBERSON (CRNA) based?
DANIEL E ROBERSON (CRNA) is tied to Clinton, Missouri in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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