MR. MICHAEL JR. VAN FOSSEN (CRNA) – Certified Registered Nurse Anesthetist, NPI 1336695501

MR. MICHAEL JR. VAN FOSSEN (CRNA) is a healthcare provider. based in Voorhees, New Jersey. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 26NR14447600 (NJ). The NPI Number for MR. MICHAEL JR. VAN FOSSEN (CRNA) is 1336695501

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
MR. MICHAEL JR. VAN FOSSEN (CRNA)
NPI
1336695501
Phone
(856) 988-6260
Address
100 Bowman Dr Fl 2
Enumeration Date
28 August 2016
Last Update Date
4 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8339582198
Graduation Year
2016 (10 years ago)
PAC ID
4981986973
Group Practice PAC ID
4981965324
Professional Enrollment ID
I20170127000849
Address ID
NJ080122453TU435XXRDXX500

Contacts

Secure Messaging
mvanfossen308282@directvirtua.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness95
Years active:9State licenses:1Other names

1,122 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in NJ

Provider Addresses for MR. MICHAEL JR. VAN FOSSEN (CRNA)

  • 100 Bowman Dr Fl 2

    Voorhees, NJ 080439612

    Phone: (856) 988-6260

    Type: Location

  • 1568, Laurel Hollow Road, Laurel Hollow, Oyster Bay, Nassau County, New York, 11791, United States

    MOUNT LAUREL, NJ 080547568

    Phone: (856) 829-3457

    Type: Mailing

  • 435 HURFFVILLE CROSS KEYS RD

    TURNERSVILLE, NJ 080122453

    Phone: (856) 582-2500

    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: 2017-01-27

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
I20170127000849ICertified 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
01922Anesthesia for x-ray or radiation therapy2828$0
01402Anesthesia for procedure for total knee joint replacement1414$0
00811Anesthesia for other procedure on large bowel using an endoscope1212$0
View full utilization report →

Insurance plans in this area (ZIP 08043)

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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: 4981965324View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)NJ
A N E S T H E S I O L O G YPA
Certified Registered Nurse Anesthetist (Crna)NJ
A N E S T H E S I O L O G YPA
Certified Registered Nurse Anesthetist (Crna)NJ
-PA
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)PA
N E U R O S U R G E R YNJ
Certified Registered Nurse Anesthetist (Crna)PA
N E U R O S U R G E R YDE

Reviews

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Frequently asked questions

What is the 10-digit NPI for MR. MICHAEL JR. VAN FOSSEN (CRNA)?
MR. MICHAEL JR. VAN FOSSEN (CRNA) — NPI 1336695501 — is the standard way to identify this listing.
Can I rely on MR. MICHAEL JR. VAN FOSSEN (CRNA) being an active provider?
As of the registry snapshot, MR. MICHAEL JR. VAN FOSSEN (CRNA) is marked active.
What is MR. MICHAEL JR. VAN FOSSEN (CRNA)'s primary classification?
Certified Registered Nurse Anesthetist is the headline specialty for MR. MICHAEL JR. VAN FOSSEN (CRNA) here. Clinical services aligned with this taxonomy classification.
What address line appears for MR. MICHAEL JR. VAN FOSSEN (CRNA)?
MR. MICHAEL JR. VAN FOSSEN (CRNA)'s geographic hint is Voorhees, New Jersey in our summary view.
Why does MR. MICHAEL JR. VAN FOSSEN (CRNA) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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