AUSTIN PHILLIPS (CRBA) – Certified Registered Nurse Anesthetist, NPI 1053205229

AUSTIN PHILLIPS (CRBA) is a healthcare provider. based in Canton, Ohio. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRBA. They hold a License No. RN465190 (OH). The NPI Number for AUSTIN PHILLIPS (CRBA) is 1053205229

Main info

Male
1 Year Of Experience
Accepts Medicare Assignment
Name
AUSTIN PHILLIPS (CRBA)
NPI
1053205229
Phone
(330) 363-4951
Address
2600 SIXTH ST SW
Enumeration Date
4 June 2025
Last Update Date
4 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3304386352
Graduation Year
2025 (1 year ago)
PAC ID
6901304716
Group Practice PAC ID
9133019110
Professional Enrollment ID
I20250811004006
Address ID
OH447101702CA2600XSWXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

3,016 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in OH

Provider Addresses for AUSTIN PHILLIPS (CRBA)

  • 2600 SIXTH ST SW

    CANTON, OH 447101702

    Phone: (330) 363-4951

    Fax: (330) 363-7679

    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)

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: 2025-08-11

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
I20250811004006ICertified Registered Nurse Anesthetist (Crna)OHTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44710)

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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: 9133019110View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)OH
-OH
-OH
-OH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH

Reviews

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Frequently asked questions

What unique ID ties claims to AUSTIN PHILLIPS (CRBA)?
NPI 1053205229 is assigned to AUSTIN PHILLIPS (CRBA) under the national enumeration system.
Is AUSTIN PHILLIPS (CRBA) currently active in the NPI registry?
CMS-published data lists AUSTIN PHILLIPS (CRBA) as an active registrant.
Does AUSTIN PHILLIPS (CRBA) list a primary specialty?
If you are matching referrals, note Certified Registered Nurse Anesthetist for AUSTIN PHILLIPS (CRBA). Clinical services aligned with this taxonomy classification.
Does AUSTIN PHILLIPS (CRBA) practice in Ohio?
You will see Canton, Ohio on file for AUSTIN PHILLIPS (CRBA) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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