DEIRDRE A DAVIS (C.R.N.A.) – Certified Registered Nurse Anesthetist, NPI 1003812819

DEIRDRE A DAVIS (C.R.N.A.) is a healthcare provider. based in Manahawkin, New Jersey. specializing in Certified Registered Nurse Anesthetist. They hold the professional credentials C.R.N.A.. They hold a License No. 356194 (NY). The NPI Number for DEIRDRE A DAVIS (C.R.N.A.) is 1003812819

Main info

Female
Sole Proprietor
34 Years Of Experience
Accepts Medicare Assignment
Name
DEIRDRE A DAVIS (C.R.N.A.)
NPI
1003812819
Phone
(609) 597-6011
Address
1140 ROUTE 72 W
Enumeration Date
27 June 2005
Last Update Date
22 February 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7328187575
Graduation Year
1992 (34 years ago)
PAC ID
6204887938
Group Practice PAC ID
2668385253
Professional Enrollment ID
I20090514000307
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:20State licenses:3Digital endpointsOther names

Provider Addresses for DEIRDRE A DAVIS (C.R.N.A.)

  • 1140 ROUTE 72 W

    MANAHAWKIN, NJ 08050

    Phone: (609) 597-6011

    Type: Location

  • 300 Community Dr

    Manhasset, NY 110303816

    Phone: (732) 897-0200

    Fax: (732) 897-0263

    Type: Location

  • PO BOX 307

    NEPTUNE, NJ 077540307

    Phone:

    Fax: (732) 897-0263

    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 $25.

Total Amount is formed as General ($25) + Research ($0) + Ownership ($0) = $25.

Last reported payment date: 2024-06-26 • Largest payer in this snapshot: Seapearl East, Inc ($25).

Total Amount

$25

General + Research + Ownership

Payments

1

Total payment records

General Amount

$25

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-26

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Seapearl East, Inc$25
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: 2009-05-14

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
I20090514000307ICertified Registered Nurse Anesthetist (Crna)NJTBD

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
00811Anesthesia for other procedure on large bowel using an endoscope6868$0
00813Anesthesia for procedure on small and large bowel using an endoscope3535$0
00812Anesthesia for exam of colon using an endoscope3434$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2727$0
View full utilization report →

Insurance plans in this area (ZIP 08050)

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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: 2668385253View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YNJ
-NJ
-NJ
-NJ
-NJ
A N E S T H E S I O L O G YNJ
-NJ
Certified Registered Nurse Anesthetist (Crna)MD
Certified Registered Nurse Anesthetist (Crna)NJ
-PA

Reviews

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Frequently asked questions

What is the 10-digit NPI for DEIRDRE A DAVIS (C.R.N.A.)?
DEIRDRE A DAVIS (C.R.N.A.) — NPI 1003812819 — is the standard way to identify this listing.
Does the file indicate DEIRDRE A DAVIS (C.R.N.A.) is practicing under active NPI?
Directory data currently reports DEIRDRE A DAVIS (C.R.N.A.) as active.
What is DEIRDRE A DAVIS (C.R.N.A.)'s primary classification?
Certified Registered Nurse Anesthetist is the headline specialty for DEIRDRE A DAVIS (C.R.N.A.) here. Clinical services aligned with this taxonomy classification.
What address line appears for DEIRDRE A DAVIS (C.R.N.A.)?
DEIRDRE A DAVIS (C.R.N.A.)'s geographic hint is Manahawkin, New Jersey in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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