PAUL WADDELL HUTSON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1063654580

PAUL WADDELL HUTSON (CRNA) is a healthcare provider. based in Enid, Oklahoma. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 94632 (OK). The NPI Number for PAUL WADDELL HUTSON (CRNA) is 1063654580

Main info

Male
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
PAUL WADDELL HUTSON (CRNA)
NPI
1063654580
Phone
(580) 242-3003
Address
626 DEER RUN
Enumeration Date
30 March 2009
Last Update Date
30 March 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9036752216
Graduation Year
2008 (18 years ago)
PAC ID
3779631858
Group Practice PAC ID
1355606641
Professional Enrollment ID
I20140102001008
Address ID
TX757515610AT2000XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

669 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in OK

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Provider Addresses for PAUL WADDELL HUTSON (CRNA)

  • 626, Deer Run, Enid, Garfield County, Oklahoma, 73703, United States

    ENID, OK 737033426

    Phone: (580) 242-3003

    Fax: (580) 237-6174

    Type: Mailing

  • INTEGRIS Bass Baptist Health Center, 600, South Monroe Street, Enid, Garfield County, Oklahoma, 73701, United States

    ENID, OK 737017211

    Phone: (580) 233-2300

    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: 2014-01-02

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
I20140102001008ICertified Registered Nurse Anesthetist (Crna)TXTBD

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 endoscope1616$0
View full utilization report →

Insurance plans in this area (ZIP 73703)

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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: 1355606641View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TX
-GA
Certified Registered Nurse Anesthetist (Crna)LA
Certified Registered Nurse Anesthetist (Crna)TX
Anesthesiology, Interventional Pain ManagementTX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)MS
Certified Registered Nurse Anesthetist (Crna)TX

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Frequently asked questions

How do I look up PAUL WADDELL HUTSON (CRNA) by NPI?
Use NPI 1063654580 when you need to reference PAUL WADDELL HUTSON (CRNA) in forms, claims, or directories.
Does this profile mean PAUL WADDELL HUTSON (CRNA) is currently active?
Yes — PAUL WADDELL HUTSON (CRNA) appears active in the national provider directory.
What kind of provider is PAUL WADDELL HUTSON (CRNA)?
The page reflects Certified Registered Nurse Anesthetist for PAUL WADDELL HUTSON (CRNA). Clinical services aligned with this taxonomy classification.
Where does public data place PAUL WADDELL HUTSON (CRNA)?
The snapshot lists Enid, Oklahoma for PAUL WADDELL HUTSON (CRNA); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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