TAMARA S MINNIX (CRNA) – Certified Registered Nurse Anesthetist, NPI 1104907773

TAMARA S MINNIX (CRNA) is a healthcare provider. based in Columbus, Ohio. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 41769 (WV). The NPI Number for TAMARA S MINNIX (CRNA) is 1104907773

Main info

Female
34 Years Of Experience
Accepts Medicare Assignment
Name
TAMARA S MINNIX (CRNA)
NPI
1104907773
Phone
(888) 245-5525
Address
PO BOX 714960
Enumeration Date
18 October 2006
Last Update Date
8 June 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3043530319
Graduation Year
1992 (34 years ago)
PAC ID
5294777835
Group Practice PAC ID
6800887092
Professional Enrollment ID
I20050524001241
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

720 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in WV

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Provider Addresses for TAMARA S MINNIX (CRNA)

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

    COLUMBUS, OH 432714960

    Phone: (888) 245-5525

    Fax: (717) 653-8197

    Type: Mailing

  • Cabell Huntington Hospital, 1340, Hal Greer Boulevard, Enslow Park Place, Huntington, Cabell County, West Virginia, 25701, United States

    HUNTINGTON, WV 257013800

    Phone: (888) 245-5525

    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: 2024-04-05

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
I20050524001241ICertified Registered Nurse Anesthetist (Crna)WVTBD
I20240405001716ICertified 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00812Anesthesia for exam of colon using an endoscope2222$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1919$0
00811Anesthesia for other procedure on large bowel using an endoscope1616$0
00813Anesthesia for procedure on small and large bowel using an endoscope1515$0
View full utilization report →

Insurance plans in this area (ZIP 43271)

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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: 6800887092View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)WV
Certified Registered Nurse Anesthetist (Crna)WV
Certified Registered Nurse Anesthetist (Crna)WV
-WV
Certified Registered Nurse Anesthetist (Crna)WV
Certified Registered Nurse Anesthetist (Crna)WV
Certified Registered Nurse Anesthetist (Crna)WV
Certified Registered Nurse Anesthetist (Crna)WV
Certified Registered Nurse Anesthetist (Crna)WV
Physician AssistantWV

Reviews

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Frequently asked questions

Where can patients find TAMARA S MINNIX (CRNA)'s NPI?
You can confirm TAMARA S MINNIX (CRNA) with NPI 1104907773; it appears in the national provider directory.
Is TAMARA S MINNIX (CRNA)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does TAMARA S MINNIX (CRNA) work in?
You can think of TAMARA S MINNIX (CRNA) as practicing within Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where does public data place TAMARA S MINNIX (CRNA)?
The snapshot lists Columbus, Ohio for TAMARA S MINNIX (CRNA); download NPPES for the complete set.
What if Columbus, Ohio seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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