MS. EDITH NOTTAGE (CRNA) – Registered Nurse, NPI 1083755128

MS. EDITH NOTTAGE (CRNA) is a healthcare provider. based in Jamaica, New York. specializing in Registered Nurse. They hold the professional credentials CRNA. They hold a License No. RN310003 (GA). The NPI Number for MS. EDITH NOTTAGE (CRNA) is 1083755128

Main info

Female
Sole Proprietor
23 Years Of Experience
Accepts Medicare Assignment
Name
MS. EDITH NOTTAGE (CRNA)
NPI
1083755128
Phone
(718) 206-6290
Address
8900 VAN WYCK EXPY
Enumeration Date
10 February 2007
Last Update Date
17 March 2023

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Secondary Phone
7182066088
Graduation Year
2003 (23 years ago)
PAC ID
3971542523
Group Practice PAC ID
1355323460
Professional Enrollment ID
I20050506000154
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for MS. EDITH NOTTAGE (CRNA)

  • Van Wyck Expressway, Jamaica, Queens, New York, 11436, United States

    JAMAICA, NY 114182897

    Phone: (718) 206-6290

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 39 Open Payments records for all available years, with a total value of $769.

Total Amount is formed as General ($769) + Research ($0) + Ownership ($0) = $769.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($200).

Total Amount

$769

General + Research + Ownership

Payments

39

Total payment records

General Amount

$769

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

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: 2023-04-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20050506000154ICertified Registered Nurse Anesthetist (Crna)NYTBD
I20230426003261ICertified Registered Nurse Anesthetist (Crna)GATBD

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 endoscope100100$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2323$0
00813Anesthesia for procedure on small and large bowel using an endoscope1414$0
View full utilization report →

Insurance plans in this area (ZIP 11418)

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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: 1355323460View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)NY
Certified Registered Nurse Anesthetist (Crna)NY
Certified Registered Nurse Anesthetist (Crna)NY
Anesthesiology, Interventional Pain ManagementNY
Anesthesiology, Pain ManagementWI
-NY
Pain Management, AnesthesiologyNY
A N E S T H E S I O L O G YNY
A N E S T H E S I O L O G YNY
A N E S T H E S I O L O G YNY

Reviews

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Frequently asked questions

How do I look up MS. EDITH NOTTAGE (CRNA) by NPI?
Use NPI 1083755128 when you need to reference MS. EDITH NOTTAGE (CRNA) in forms, claims, or directories.
Is MS. EDITH NOTTAGE (CRNA)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does MS. EDITH NOTTAGE (CRNA) treat or focus on?
Patients typically see MS. EDITH NOTTAGE (CRNA) under the specialty Registered Nurse. Clinical services aligned with this taxonomy classification.
Where does public data place MS. EDITH NOTTAGE (CRNA)?
The snapshot lists Jamaica, New York for MS. EDITH NOTTAGE (CRNA); download NPPES for the complete set.
Is MS. EDITH NOTTAGE (CRNA) a real provider?
This page reflects official NPPES data for NPI 1083755128. Always confirm identity and privileges with the practice and licensing boards.

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