CODY D CARLSON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1184582538

CODY D CARLSON (CRNA) is a healthcare provider. based in Kearney, Nebraska. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 101969 (NE). The NPI Number for CODY D CARLSON (CRNA) is 1184582538

Main info

Male
1 Year Of Experience
Accepts Medicare Assignment
Name
CODY D CARLSON (CRNA)
NPI
1184582538
Phone
(308) 236-5506
Address
115 E 52ND ST
Enumeration Date
14 January 2026
Last Update Date
14 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3088657100
Graduation Year
2025 (1 year ago)
PAC ID
3779065537
Group Practice PAC ID
9335132141
Professional Enrollment ID
I20260303000462
Address ID
NE688472908KE10XXXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

534 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in NE

Provider Addresses for CODY D CARLSON (CRNA)

  • 115 E 52ND ST

    KEARNEY, NE 688470502

    Phone: (308) 236-5506

    Fax: (308) 236-7089

    Type: Mailing

  • 10 E 31ST ST

    KEARNEY, NE 688472908

    Phone: (308) 865-7100

    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: 2026-03-03

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
I20260303000462ICertified 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 68847)

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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: 9335132141View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)NE
-NE
Certified Registered Nurse Anesthetist (Crna)KS
-NE
Certified Registered Nurse Anesthetist (Crna)NE
Certified Registered Nurse Anesthetist (Crna)NE
Certified Registered Nurse Anesthetist (Crna)NE
-NE
Certified Registered Nurse Anesthetist (Crna)NE
Certified Registered Nurse Anesthetist (Crna)KY

Reviews

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Frequently asked questions

How do payers reference CODY D CARLSON (CRNA)?
For CODY D CARLSON (CRNA), use NPI 1184582538 as the unique 10-digit identifier.
Active or inactive — what applies to CODY D CARLSON (CRNA)?
You should see CODY D CARLSON (CRNA) as active in CMS-hosted NPPES data.
What area of care is associated with CODY D CARLSON (CRNA)?
CODY D CARLSON (CRNA)'s record emphasizes Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where in Nebraska is CODY D CARLSON (CRNA) registered?
Use Kearney, Nebraska as the headline location for CODY D CARLSON (CRNA) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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