STEVEN D FETZER (CRNA) – Certified Registered Nurse Anesthetist, NPI 1528111325

STEVEN D FETZER (CRNA) is a healthcare provider. based in Hannibal, Missouri. specializing in Certified Registered Nurse Anesthetist. They hold the professional credentials CRNA. They hold a License No. 209000132 (IL). The NPI Number for STEVEN D FETZER (CRNA) is 1528111325

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
STEVEN D FETZER (CRNA)
NPI
1528111325
Phone
(573) 248-1300
Address
6000 HOSPITAL DR
Enumeration Date
18 January 2007
Last Update Date
24 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3097625560
Graduation Year
1986 (40 years ago)
PAC ID
2567464712
Group Practice PAC ID
4284976374
Professional Enrollment ID
I20070201000195
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

Provider Addresses for STEVEN D FETZER (CRNA)

  • 6000 HOSPITAL DR

    ANESTHESIOLOGY

    HANNIBAL, MO 634016887

    Phone: (573) 248-1300

    Fax: (573) 406-5889

    Type: Location

  • 3301 BROADWAY ST

    QUINCY, IL 623013713

    Phone: (217) 222-6550

    Type: Location

  • 6000 Hospital Dr

    Anesthesiology

    Hannibal, MO 634016887

    Phone: (573) 248-1300

    Fax: (573) 406-5889

    Type: Location

  • 551, County Route 3, Fairdale, Fulton, Town of Hannibal, Oswego County, New York, 13069, United States

    HANNIBAL, MO 634010551

    Phone: (573) 248-1300

    Type: Mailing

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: 2007-02-01

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
I20070201000195ICertified Registered Nurse Anesthetist (Crna)ILTBD

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
00142Anesthesia for lens surgery103101$0
00812Anesthesia for exam of colon using an endoscope2828$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1515$0
View full utilization report →

Insurance plans in this area (ZIP 63401)

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Reviews

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Frequently asked questions

Does STEVEN D FETZER (CRNA) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — STEVEN D FETZER (CRNA) uses 1528111325.
Does the file indicate STEVEN D FETZER (CRNA) is practicing under active NPI?
Directory data currently reports STEVEN D FETZER (CRNA) as active.
What healthcare role does STEVEN D FETZER (CRNA) hold?
Scheduling teams often label STEVEN D FETZER (CRNA) under Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where is STEVEN D FETZER (CRNA) based?
STEVEN D FETZER (CRNA) is tied to Hannibal, 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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