MRS. MARISA CHAFFEE ENDERSBY (CRNA) – Certified Registered Nurse Anesthetist, NPI 1093757783

MRS. MARISA CHAFFEE ENDERSBY (CRNA) is a healthcare provider. based in Woodward, Oklahoma. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. R0073537 (OK). The NPI Number for MRS. MARISA CHAFFEE ENDERSBY (CRNA) is 1093757783

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MARISA CHAFFEE ENDERSBY (CRNA)
NPI
1093757783
Phone
(580) 254-8688
Address
900 17TH ST
Enumeration Date
10 June 2006
Last Update Date
18 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9187012300
Graduation Year
2005 (21 years ago)
PAC ID
5496768608
Group Practice PAC ID
9638461973
Professional Enrollment ID
I20060712000282
Address ID
OK740373465JE3029XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

669 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in OK

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Provider Addresses for MRS. MARISA CHAFFEE ENDERSBY (CRNA)

  • AllianceHealth Woodward, 900, 17th Street, Woodward, Woodward County, Oklahoma, 73801, United States

    WOODWARD, OK 738012448

    Phone: (580) 254-8688

    Type: Location

  • RR 1 BOX 234

    WOODWARD, OK 738019712

    Phone: (580) 256-3956

    Type: Mailing

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: 2006-07-12

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
I20060712000282ICertified 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
00142Anesthesia for lens surgery2323$0
View full utilization report →

Insurance plans in this area (ZIP 73801)

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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: 9638461973View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)OK
Certified Registered Nurse Anesthetist (Crna)OK
Certified Registered Nurse Anesthetist (Crna)TX
A N E S T H E S I O L O G YOK
Certified Registered Nurse Anesthetist (Crna)LA
Certified Registered Nurse Anesthetist (Crna)TX
A N E S T H E S I O L O G YGA
Certified Registered Nurse Anesthetist (Crna)OK
A N E S T H E S I O L O G YOK
A N E S T H E S I O L O G YAZ

Reviews

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Frequently asked questions

What unique ID ties claims to MRS. MARISA CHAFFEE ENDERSBY (CRNA)?
NPI 1093757783 is assigned to MRS. MARISA CHAFFEE ENDERSBY (CRNA) under the national enumeration system.
Is MRS. MARISA CHAFFEE ENDERSBY (CRNA) active in the national directory?
MRS. MARISA CHAFFEE ENDERSBY (CRNA)'s public NPI profile is in an active state.
What field does MRS. MARISA CHAFFEE ENDERSBY (CRNA) work in?
You can think of MRS. MARISA CHAFFEE ENDERSBY (CRNA) as practicing within Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where is MRS. MARISA CHAFFEE ENDERSBY (CRNA)'s primary listing?
We display Woodward, Oklahoma because that is what the record indicates for MRS. MARISA CHAFFEE ENDERSBY (CRNA).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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