CHARLES EDDY III SEACRIST (RN) – Certified Registered Nurse Anesthetist, NPI 1619669488

CHARLES EDDY III SEACRIST (RN) is a healthcare provider. based in Willoughby, Ohio. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials RN. They hold a License No. 430272 (OH). The NPI Number for CHARLES EDDY III SEACRIST (RN) is 1619669488

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
CHARLES EDDY III SEACRIST (RN)
NPI
1619669488
Phone
(440) 221-6634
Address
38401 MENTOR AVE UNIT 7303
Enumeration Date
22 May 2023
Last Update Date
12 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4402852900
Graduation Year
2023 (3 years ago)
PAC ID
0446614812
Group Practice PAC ID
0547456386
Professional Enrollment ID
I20230919000843
Address ID
OH440242908CH150XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:3State licenses:2Digital endpointsOther names

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

Provider Addresses for CHARLES EDDY III SEACRIST (RN)

  • 38401 MENTOR AVE UNIT 7303

    WILLOUGHBY, OH 440948760

    Phone: (440) 221-6634

    Type: Mailing

  • 150 7TH AVE

    CHARDON, OH 440242908

    Phone: (440) 285-2900

    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: 2023-09-19

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
I20230919000843ICertified 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 44094)

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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: 0547456386View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)PA
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

Does CHARLES EDDY III SEACRIST (RN) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — CHARLES EDDY III SEACRIST (RN) uses 1619669488.
Is CHARLES EDDY III SEACRIST (RN) still practicing?
CHARLES EDDY III SEACRIST (RN) is currently listed as active in the public NPI registry.
What healthcare role does CHARLES EDDY III SEACRIST (RN) hold?
Scheduling teams often label CHARLES EDDY III SEACRIST (RN) under Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where is CHARLES EDDY III SEACRIST (RN) based?
CHARLES EDDY III SEACRIST (RN) is tied to Willoughby, Ohio in the data we show; additional addresses may exist on the full record.
Is the information about CHARLES EDDY III SEACRIST (RN) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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