SAMUEL PETER HADLOCK (CRNA) – Certified Registered Nurse Anesthetist, NPI 1568732238

SAMUEL PETER HADLOCK (CRNA) is a healthcare provider. based in Mesquite, Nevada. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. CRNA1007 (AZ). The NPI Number for SAMUEL PETER HADLOCK (CRNA) is 1568732238

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
SAMUEL PETER HADLOCK (CRNA)
NPI
1568732238
Phone
(801) 380-4164
Address
474 KALANCHOE WAY
Enumeration Date
11 January 2012
Last Update Date
30 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4356233000
Graduation Year
2013 (13 years ago)
PAC ID
9537390661
Group Practice PAC ID
1850779729
Professional Enrollment ID
I20180409002320
Address ID
UT846485516NE1766X800X300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience79
Completeness75
Years active:14State licenses:4Digital endpointsOther names

265 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in UT

Provider Addresses for SAMUEL PETER HADLOCK (CRNA)

  • 474 KALANCHOE WAY

    MESQUITE, NV 890272951

    Phone: (801) 380-4164

    Type: Mailing

  • 1167 S 175 E

    NEPHI, UT 846483014

    Phone: (801) 380-4164

    Type: Mailing

  • 48 W 1500 N

    NEPHI, UT 846488900

    Phone: (435) 623-3000

    Type: Location

  • 676 S Bluff St

    St George, UT 847703596

    Phone: (435) 673-0095

    Type: Location

  • PO BOX 139

    NEPHI, UT 846480139

    Phone: (801) 380-4164

    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 $39.

Total Amount is formed as General ($39) + Research ($0) + Ownership ($0) = $39.

Last reported payment date: 2023-10-20 • Largest payer in this snapshot: Boston Scientific Corporation ($39).

Total Amount

$39

General + Research + Ownership

Payments

1

Total payment records

General Amount

$39

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-20

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2018-04-09

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
I20180409002320ICertified Registered Nurse Anesthetist (Crna)UTTBD

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
64447Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)1818$0
01810Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand1616$0
01402Anesthesia for procedure for total knee joint replacement1515$0
76942Ultrasonic guidance for needle placement1515$0
00812Anesthesia for exam of colon using an endoscope1313$0
View full utilization report →

Insurance plans in this area (ZIP 89027)

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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: 1850779729View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)UT
Certified Registered Nurse Anesthetist (Crna)AZ
Certified Registered Nurse Anesthetist (Crna)NE
Certified Registered Nurse Anesthetist (Crna)UT

Reviews

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Frequently asked questions

Does SAMUEL PETER HADLOCK (CRNA) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — SAMUEL PETER HADLOCK (CRNA) uses 1568732238.
Is SAMUEL PETER HADLOCK (CRNA) still practicing?
SAMUEL PETER HADLOCK (CRNA) is currently listed as active in the public NPI registry.
What is SAMUEL PETER HADLOCK (CRNA) best known for clinically?
Directory data describes SAMUEL PETER HADLOCK (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Does SAMUEL PETER HADLOCK (CRNA) list a practice location?
Patients near Mesquite, Nevada may find SAMUEL PETER HADLOCK (CRNA) in results; validate coverage separately.
Is the information about SAMUEL PETER HADLOCK (CRNA) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."