TRACI WATERS (CRNA) – Certified Registered Nurse Anesthetist, NPI 1669705331

TRACI WATERS (CRNA) is a healthcare provider. based in Deming, New Mexico. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. CRNA-01052 (NM). The NPI Number for TRACI WATERS (CRNA) is 1669705331

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
TRACI WATERS (CRNA)
NPI
1669705331
Phone
(575) 546-5855
Address
900 W Ash St
Enumeration Date
14 September 2009
Last Update Date
28 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8885898550
Graduation Year
2009 (17 years ago)
PAC ID
1557407533
Group Practice PAC ID
1153672159
Professional Enrollment ID
I20091005000542
Address ID
NM871094597AL4901XNEXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness85
Years active:16State licenses:3Digital endpointsOther names

310 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in NM

Provider Addresses for TRACI WATERS (CRNA)

  • 900 W Ash St

    Deming, NM 880304000

    Phone: (575) 546-5855

    Fax: (575) 543-6908

    Type: Location

  • 800 Rose St

    Lexington, KY 405360293

    Phone: (859) 323-5956

    Type: Location

  • 1551 E TANGERINE RD

    ORO VALLEY, AZ 857556213

    Phone: (520) 901-3500

    Type: Location

  • Mimbres Memorial Hospital, 900, West Ash Street, Deming, Luna County, New Mexico, 88030, United States

    DEMING, NM 880304000

    Phone: (575) 546-5855

    Fax: (575) 546-5855

    Type: Mailing

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: 2026-02-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 8 Medicare enrollment records; no due dates published yet.

Enrollment records

8

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
I20091005000542ICertified Registered Nurse Anesthetist (Crna)NMTBD
I20170316001303ICertified Registered Nurse Anesthetist (Crna)MATBD
I20180305000471ICertified Registered Nurse Anesthetist (Crna)MDTBD
I20200331000660ICertified Registered Nurse Anesthetist (Crna)INTBD
I20220504000507ICertified Registered Nurse Anesthetist (Crna)TXTBD
I20230717000864ICertified Registered Nurse Anesthetist (Crna)NYTBD
I20231211001050ICertified Registered Nurse Anesthetist (Crna)AZTBD
I20260225003516ICertified Registered Nurse Anesthetist (Crna)KYTBD

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
00910Anesthesia for other procedure on urinary system through urethra1111$0
View full utilization report →

Insurance plans in this area (ZIP 88030)

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Provider's Procedures

TRACI WATERS (CRNA) performs procedures in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETNM00142Anesthesia for lens surgery2424

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: 1153672159View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)NM
-OH
Certified Registered Nurse Anesthetist (Crna)NY
-NM
Certified Registered Nurse Anesthetist (Crna)NM
Certified Registered Nurse Anesthetist (Crna)UT
-MI
A N E S T H E S I O L O G YNM
A N E S T H E S I O L O G YNM

Reviews

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Frequently asked questions

What is the 10-digit NPI for TRACI WATERS (CRNA)?
TRACI WATERS (CRNA) — NPI 1669705331 — is the standard way to identify this listing.
Is TRACI WATERS (CRNA) listed as active for patients and plans?
The listing shows TRACI WATERS (CRNA) as active in the NPI system.
What taxonomy line describes TRACI WATERS (CRNA)?
For research purposes, treat TRACI WATERS (CRNA) as Certified Registered Nurse Anesthetist in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for TRACI WATERS (CRNA)?
TRACI WATERS (CRNA)'s geographic hint is Deming, New Mexico in our summary view.
Is the information about TRACI WATERS (CRNA) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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