JOHN BRUCE JR. FORTNER (CRNA) – Certified Registered Nurse Anesthetist, NPI 1972738987
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,775 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MO
Provider Addresses for JOHN BRUCE JR. FORTNER (CRNA)
103 WASHINGTON CIR
SENATH, MO 638769219
Phone: (573) 738-2199
Type: Mailing
1100 N Kentucky Ave
West Plains, MO 657752029
Phone: (417) 256-9111
Type: Location
Sidney Regional Medical Center, 1000, Pole Creek Crossing, Sidney, Cheyenne County, Nebraska, 69162, United States
SIDNEY, NE 691622900
Phone: (308) 254-5825
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: 2025-09-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
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 |
|---|---|---|---|---|
| I20130911000817 | I | Certified Registered Nurse Anesthetist (Crna) | MO | TBD |
| I20200229000182 | I | Certified Registered Nurse Anesthetist (Crna) | NE | TBD |
| I20240524002872 | I | Certified Registered Nurse Anesthetist (Crna) | VA | TBD |
| I20240809002898 | I | Certified Registered Nurse Anesthetist (Crna) | ND | TBD |
| I20250907000315 | I | Certified Registered Nurse Anesthetist (Crna) | AR | 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 63876)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | MN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | AZ | |
| Nurse Practitioner | CO | |
| Certified Registered Nurse Anesthetist (Crna) | ND | |
| - | TX | |
| General Surgery | ND | |
| - | ND | |
| Diagnostic Radiology | MN | |
| Diagnostic Radiology | MN | |
| Diagnostic Radiology | MN |
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