ROSS ANDREW BEAVERS (CRNA) – Certified Registered Nurse Anesthetist, NPI 1053577064

ROSS ANDREW BEAVERS (CRNA) is a healthcare provider. based in Mc cook, Nebraska. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 101049 (NE). The NPI Number for ROSS ANDREW BEAVERS (CRNA) is 1053577064

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
ROSS ANDREW BEAVERS (CRNA)
NPI
1053577064
Phone
(308) 344-2650
Address
1301 E H ST
Enumeration Date
30 July 2008
Last Update Date
22 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3087626660
Graduation Year
2008 (18 years ago)
PAC ID
9931277308
Group Practice PAC ID
9638089584
Professional Enrollment ID
I20081013000226
Address ID
NE693014445AL2101XAVEX400

Contacts

Secure Messaging
communityhospitalmccook@chm.medalliesdirect.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness85
Years active:17State licenses:1Other namesUpdated within 12 months

534 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in NE

Provider Addresses for ROSS ANDREW BEAVERS (CRNA)

  • 1301 E H ST

    MC COOK, NE 690013482

    Phone: (308) 344-2650

    Type: Location

  • Ohio State Outpatient Care Upper Arlington, 1800, Zollinger Road, Kingsdale Center, Columbus, Sharon, Franklin, Ohio, 43221, United States

    COLUMBUS, NE 686021800

    Phone: (402) 564-7118

    Fax: (402) 562-3378

    Type: Mailing

  • Columbus Community Hospital, 4600, 38th Street, Columbus, Platte County, Nebraska, 68602, United States

    COLUMBUS, NE 686011664

    Phone: (402) 564-7118

    Fax: (402) 562-3378

    Type: Location

  • PO BOX 1328

    MC COOK, NE 690011328

    Phone: (308) 344-2650

    Fax: (308) 340-8358

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2023-11-02 • Largest payer in this snapshot: Heron Therapeutics, Inc. ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-02

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Heron Therapeutics, Inc.$16
View all Open Payments →|Open Payments Risk Radar →

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: 2008-10-13

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
I20081013000226ICertified 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 69001)

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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: 9638089584View full group profile
NameSpecialtyState
Emergency Medicine, Obstetrics/GynecologyTX
Orthopedic SurgeryCO
Hand Surgery, Orthopedic Surgery, Orthopedic SurgeryCO
Family PracticeNE
Nurse PractitionerNE
A N E S T H E S I O L O G YNE
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)CO
Orthopedic SurgeryCO
Family PracticeNE

Reviews

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Frequently asked questions

What federal number belongs to ROSS ANDREW BEAVERS (CRNA)?
The federal identifier for ROSS ANDREW BEAVERS (CRNA) is NPI 1053577064.
Is ROSS ANDREW BEAVERS (CRNA)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize ROSS ANDREW BEAVERS (CRNA)'s specialty in plain language?
Clinically, the directory lists ROSS ANDREW BEAVERS (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where does public data place ROSS ANDREW BEAVERS (CRNA)?
The snapshot lists Mc Cook, Nebraska for ROSS ANDREW BEAVERS (CRNA); download NPPES for the complete set.
Is ROSS ANDREW BEAVERS (CRNA) a real provider?
This page reflects official NPPES data for NPI 1053577064. Always confirm identity and privileges with the practice and licensing boards.

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