ETHAN SEYER (CRNA) – Certified Registered Nurse Anesthetist, NPI 1295576247

ETHAN SEYER (CRNA) is a healthcare provider. based in Oak ridge, Missouri. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 2024020249 (MO). The NPI Number for ETHAN SEYER (CRNA) is 1295576247

Main info

Male
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
ETHAN SEYER (CRNA)
NPI
1295576247
Phone
Not provided
Address
16155 STATE HIGHWAY D
Enumeration Date
4 June 2024
Last Update Date
4 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5735472536
Graduation Year
2024 (2 years ago)
PAC ID
4688112782
Group Practice PAC ID
1153777826
Professional Enrollment ID
I20240821000147
Address ID
MO637751359PE434XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

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

Provider Addresses for ETHAN SEYER (CRNA)

  • 16155 STATE HIGHWAY D

    OAK RIDGE, MO 637695202

    Phone:

    Type: Mailing

  • 434 N WEST ST

    PERRYVILLE, MO 637751359

    Phone: (573) 547-2536

    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: 2024-10-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20240821000147ICertified Registered Nurse Anesthetist (Crna)MOTBD
I20241024004193ICertified Registered Nurse Anesthetist (Crna)NETBD

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 63769)

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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: 1153777826View full group profile
NameSpecialtyState
Clinical Social WorkerMO
Nurse PractitionerMO
Nurse PractitionerMO
Diagnostic RadiologyTN
Diagnostic RadiologyMO
Pain Management, Anesthesiology, Anesthesiology, Pain ManagementMO
Diagnostic RadiologyMO
Diagnostic RadiologyMO
Diagnostic RadiologyMO
Nurse PractitionerMO

Reviews

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Frequently asked questions

What is the registry number for ETHAN SEYER (CRNA)?
The registry entry for ETHAN SEYER (CRNA) shows NPI 1295576247.
Does the public listing show ETHAN SEYER (CRNA) as active?
ETHAN SEYER (CRNA)'s NPI record reflects an active status in NPPES.
Which specialty label fits ETHAN SEYER (CRNA)?
NPPES ties ETHAN SEYER (CRNA) to Certified Registered Nurse Anesthetist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to ETHAN SEYER (CRNA)?
ETHAN SEYER (CRNA) is associated with Oak Ridge, Missouri in the same public data insurers reference.
Why is information missing for ETHAN SEYER (CRNA)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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