CLINTON ALSUP – Certified Registered Nurse Anesthetist, NPI 1013451939

CLINTON ALSUP is a healthcare provider. based in Jenks, Oklahoma. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 117129 (OK). The NPI Number for CLINTON ALSUP is 1013451939

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
CLINTON ALSUP
NPI
1013451939
Phone
Not provided
Address
10937 S ELGIN AVE
Enumeration Date
12 December 2016
Last Update Date
12 December 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9184940612
Graduation Year
2016 (10 years ago)
PAC ID
7911280904
Group Practice PAC ID
7911989017
Professional Enrollment ID
I20170217001317
Address ID
OK741363402TU6839XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

669 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in OK

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Provider Addresses for CLINTON ALSUP

  • 10937, South Elgin Avenue, Jenks, Tulsa County, Oklahoma, 74037, United States

    JENKS, OK 740372643

    Phone:

    Type: Mailing

  • Hillcrest Medical Center, 1120, South Utica Avenue, Midtown Terrace, Tulsa, Tulsa County, Oklahoma, 74104, United States

    TULSA, OK 741044012

    Phone: (800) 939-7440

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2024-03-18 • Largest payer in this snapshot: Boston Scientific Corporation ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-18

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: 2017-02-17

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
I20170217001317ICertified 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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope179170$0
00732Anesthesia for procedure on gallbladder, pancreas, or liver using an endoscope4745$0
00811Anesthesia for other procedure on large bowel using an endoscope1816$0
00813Anesthesia for procedure on small and large bowel using an endoscope1717$0
00910Anesthesia for other procedure on urinary system through urethra1414$0
View full utilization report →

Insurance plans in this area (ZIP 74037)

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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: 7911989017View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)OK
-OK
-OK
A N E S T H E S I O L O G YOK
Certified Registered Nurse Anesthetist (Crna)OK
Certified Registered Nurse Anesthetist (Crna)OK
Certified Registered Nurse Anesthetist (Crna)OK
Certified Registered Nurse Anesthetist (Crna)OK
A N E S T H E S I O L O G YOK
-OK

Reviews

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Frequently asked questions

How do I look up CLINTON ALSUP by NPI?
Use NPI 1013451939 when you need to reference CLINTON ALSUP in forms, claims, or directories.
Is CLINTON ALSUP currently active in the NPI registry?
CMS-published data lists CLINTON ALSUP as an active registrant.
Does CLINTON ALSUP list a primary specialty?
If you are matching referrals, note Certified Registered Nurse Anesthetist for CLINTON ALSUP. Clinical services aligned with this taxonomy classification.
Where is CLINTON ALSUP's primary listing?
We display Jenks, Oklahoma because that is what the record indicates for CLINTON ALSUP.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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