JUSTIN PAUL MOMEYER – Certified Registered Nurse Anesthetist, NPI 1679229629

JUSTIN PAUL MOMEYER is a healthcare provider. based in Columbus, Ohio. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. RN.450251 (OH). The NPI Number for JUSTIN PAUL MOMEYER is 1679229629

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
JUSTIN PAUL MOMEYER
NPI
1679229629
Phone
(614) 566-9871
Address
111 S Grant Ave Fl 3
Enumeration Date
1 March 2022
Last Update Date
17 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6145664919
Graduation Year
2023 (3 years ago)
PAC ID
7012376361
Group Practice PAC ID
8921997230
Professional Enrollment ID
I20230705000236
Address ID
OH432143998CO3535XRDXX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:4State licenses:2Digital endpointsOther names

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

Provider Addresses for JUSTIN PAUL MOMEYER

  • 111 S Grant Ave Fl 3

    Columbus, OH 432154701

    Phone: (614) 566-9871

    Type: Location

  • 3535 Olentangy River Rd

    Columbus, OH 432143908

    Phone: (614) 884-0641

    Type: Location

  • PO BOX 7527

    DUBLIN, OH 430170727

    Phone: (419) 520-2495

    Type: Mailing

  • 111 S GRANT AVE FL 3

    COLUMBUS, OH 432154701

    Phone: (614) 566-9871

    Type: Location

  • 7810 MEADOW CHASE DR

    SUNBURY, OH 430741115

    Phone: (614) 563-2876

    Type: Mailing

  • 1330 COSHOCTON AVE

    MOUNT VERNON, OH 430501440

    Phone: (740) 393-9000

    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: 2023-07-05

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
I20230705000236ICertified 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
00142Anesthesia for lens surgery1412$0
View full utilization report →

Insurance plans in this area (ZIP 43215)

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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: 8921997230View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YOH
Certified Registered Nurse Anesthetist (Crna)OH
A N E S T H E S I O L O G YOH
A N E S T H E S I O L O G YOH
A N E S T H E S I O L O G YMA
A N E S T H E S I O L O G YOH
A N E S T H E S I O L O G YOH
-OH
-OH
A N E S T H E S I O L O G YOH

Reviews

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Frequently asked questions

What is the standard ID for JUSTIN PAUL MOMEYER in the U.S.?
In the U.S., JUSTIN PAUL MOMEYER is identified by NPI 1679229629.
Is JUSTIN PAUL MOMEYER currently accepting referrals based on NPI status?
Registry metadata lists JUSTIN PAUL MOMEYER as active.
Which specialty label fits JUSTIN PAUL MOMEYER?
NPPES ties JUSTIN PAUL MOMEYER to Certified Registered Nurse Anesthetist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is JUSTIN PAUL MOMEYER tied to Columbus, Ohio?
If you are local to Columbus, Ohio, JUSTIN PAUL MOMEYER may be relevant to your search.
Why is information missing for JUSTIN PAUL MOMEYER?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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