KAREN A ADDIS (CRNA) – Certified Registered Nurse Anesthetist, NPI 1083666747

KAREN A ADDIS (CRNA) is a healthcare provider. based in Canton, Ohio. specializing in Certified Registered Nurse Anesthetist. They hold the professional credentials CRNA. They hold a License No. RN200862 (OH). The NPI Number for KAREN A ADDIS (CRNA) is 1083666747

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
KAREN A ADDIS (CRNA)
NPI
1083666747
Phone
(330) 489-1698
Address
4665 DOUGLAS CIR NW
Enumeration Date
17 May 2006
Last Update Date
21 August 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3303753000
Graduation Year
1994 (32 years ago)
PAC ID
6204927718
Group Practice PAC ID
8022245372
Professional Enrollment ID
I20070813000019
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for KAREN A ADDIS (CRNA)

  • 4665 DOUGLAS CIR NW

    SUITE 101

    CANTON, OH 447183673

    Phone: (330) 489-1698

    Fax: (330) 489-1325

    Type: Location

  • Box Road, Boxwood Estates, Columbus, Muscogee County, Georgia, 31907, United States

    COLUMBUS, OH 432182255

    Phone: (614) 430-5723

    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: 2007-08-13

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
I20070813000019ICertified 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 44718)

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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: 8022245372View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)OH
-OH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
Certified Registered Nurse Anesthetist (Crna)OH
-TN
Certified Registered Nurse Anesthetist (Crna)OH
-OH
Certified Registered Nurse Anesthetist (Crna)OH

Reviews

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Frequently asked questions

What NPI should I save for KAREN A ADDIS (CRNA)?
Save NPI 1083666747 if you need a stable reference for KAREN A ADDIS (CRNA).
Is KAREN A ADDIS (CRNA) active in the national directory?
KAREN A ADDIS (CRNA)'s public NPI profile is in an active state.
What does KAREN A ADDIS (CRNA) treat or focus on?
Patients typically see KAREN A ADDIS (CRNA) under the specialty Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What location shows for KAREN A ADDIS (CRNA)?
We surface Canton, Ohio for KAREN A ADDIS (CRNA) based on available NPPES addresses.
What if Canton, Ohio seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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