TAIBATU MOHAMMED AWAL (CRNA) – Certified Registered Nurse Anesthetist, NPI 1912686569

TAIBATU MOHAMMED AWAL (CRNA) is a healthcare provider. based in Waynesville, Missouri. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 896075 (TX). The NPI Number for TAIBATU MOHAMMED AWAL (CRNA) is 1912686569

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
TAIBATU MOHAMMED AWAL (CRNA)
NPI
1912686569
Phone
(254) 462-2776
Address
21342 LADUFF RD
Enumeration Date
12 July 2023
Last Update Date
9 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5733488000
Graduation Year
2023 (3 years ago)
PAC ID
6002261369
Group Practice PAC ID
6305806530
Professional Enrollment ID
I20231006002226
Address ID
MO650653050OS54XXXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness85
Years active:2State licenses:2Digital endpointsOther names

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

Provider Addresses for TAIBATU MOHAMMED AWAL (CRNA)

  • 21342 LADUFF RD

    WAYNESVILLE, MO 655837808

    Phone: (254) 462-2776

    Mailing address matches the actual address.

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: 2023-10-06

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
I20231006002226ICertified 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00142Anesthesia for lens surgery2523$0
View full utilization report →

Insurance plans in this area (ZIP 65583)

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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: 6305806530View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)KY
Certified Registered Nurse Anesthetist (Crna)MO
Anesthesiology, Pain ManagementMO
Certified Registered Nurse Anesthetist (Crna)MO
-MO
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)MO

Reviews

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Frequently asked questions

What NPI should I save for TAIBATU MOHAMMED AWAL (CRNA)?
Save NPI 1912686569 if you need a stable reference for TAIBATU MOHAMMED AWAL (CRNA).
Does this profile mean TAIBATU MOHAMMED AWAL (CRNA) is currently active?
Yes — TAIBATU MOHAMMED AWAL (CRNA) appears active in the national provider directory.
What field does TAIBATU MOHAMMED AWAL (CRNA) work in?
You can think of TAIBATU MOHAMMED AWAL (CRNA) as practicing within Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where does public data place TAIBATU MOHAMMED AWAL (CRNA)?
The snapshot lists Waynesville, Missouri for TAIBATU MOHAMMED AWAL (CRNA); download NPPES for the complete set.
How can I contact TAIBATU MOHAMMED AWAL (CRNA)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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