TRACI RENEE WILMARTH (CRNA) – Certified Registered Nurse Anesthetist, NPI 1003245481

TRACI RENEE WILMARTH (CRNA) is a healthcare provider. based in Oklahoma city, Oklahoma. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 100545 (OK). The NPI Number for TRACI RENEE WILMARTH (CRNA) is 1003245481

Main info

Female
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
TRACI RENEE WILMARTH (CRNA)
NPI
1003245481
Phone
(405) 213-5351
Address
9713 LAKECREST DR
Enumeration Date
5 November 2013
Last Update Date
22 July 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4052248111
Graduation Year
2013 (13 years ago)
PAC ID
6103053574
Group Practice PAC ID
5991618969
Professional Enrollment ID
I20131210000339
Address ID
OK730182738CH2222XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

669 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in OK

Provider Addresses for TRACI RENEE WILMARTH (CRNA)

  • 9713 LAKECREST DR

    OKLAHOMA CITY, OK 731596777

    Phone: (405) 213-5351

    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)

CMS reports 10 Open Payments records for all available years, with a total value of $221.

Total Amount is formed as General ($221) + Research ($0) + Ownership ($0) = $221.

Last reported payment date: 2024-10-07 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($165).

Total Amount

$221

General + Research + Ownership

Payments

10

Total payment records

General Amount

$221

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-07

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2013-12-10

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
I20131210000339ICertified Registered Nurse Anesthetist (Crna)OKTBD

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 endoscope6464$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope4848$0
00811Anesthesia for other procedure on large bowel using an endoscope3333$0
00813Anesthesia for procedure on small and large bowel using an endoscope2525$0
View full utilization report →

Insurance plans in this area (ZIP 73159)

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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: 5991618969View full group profile
NameSpecialtyState
D E R M A T O L O G YOK
-OK
Certified Registered Nurse Anesthetist (Crna)OK
-OK
General PracticeNY
-OK
Family PracticeOK
Certified Registered Nurse Anesthetist (Crna)OK
Internal MedicineOK
-OK

Reviews

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Frequently asked questions

How is TRACI RENEE WILMARTH (CRNA) identified in CMS data?
CMS-hosted NPPES data lists TRACI RENEE WILMARTH (CRNA) with NPI 1003245481.
Is TRACI RENEE WILMARTH (CRNA) listed as active for patients and plans?
The listing shows TRACI RENEE WILMARTH (CRNA) as active in the NPI system.
What taxonomy line describes TRACI RENEE WILMARTH (CRNA)?
For research purposes, treat TRACI RENEE WILMARTH (CRNA) as Certified Registered Nurse Anesthetist in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect TRACI RENEE WILMARTH (CRNA) on a map?
Expect Oklahoma City, Oklahoma as a primary anchor for TRACI RENEE WILMARTH (CRNA) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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