DUSTIN PATRICK RENFRO (CRNA) – Certified Registered Nurse Anesthetist, NPI 1760900955

DUSTIN PATRICK RENFRO (CRNA) is a healthcare provider. based in Bixby, Oklahoma. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 108890 (OK). The NPI Number for DUSTIN PATRICK RENFRO (CRNA) is 1760900955

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
DUSTIN PATRICK RENFRO (CRNA)
NPI
1760900955
Phone
(918) 381-1193
Address
11130 S 109TH EAST AVE
Enumeration Date
7 September 2017
Last Update Date
7 September 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9187012300
Graduation Year
2017 (9 years ago)
PAC ID
1658647169
Group Practice PAC ID
9638461973
Professional Enrollment ID
I20171030000460
Address ID
OK740373465JE3029XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

671 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in OK

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Provider Addresses for DUSTIN PATRICK RENFRO (CRNA)

  • 11130, South 109th East Avenue, Bixby, Tulsa County, Oklahoma, 74008, United States

    BIXBY, OK 740082624

    Phone: (918) 381-1193

    Type: Mailing

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

    TULSA, OK 741044012

    Phone: (918) 579-1000

    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 $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2023-11-29 • Largest payer in this snapshot: Heron Therapeutics, Inc. ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-29

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Heron Therapeutics, Inc.$18
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: 2023-07-19

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20171030000460ICertified Registered Nurse Anesthetist (Crna)OKTBD
I20230719000494ICertified 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 endoscope3636$0
00811Anesthesia for other procedure on large bowel using an endoscope1414$0
View full utilization report →

Insurance plans in this area (ZIP 74008)

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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)KS
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)OK
Anesthesiology, Critical Care (Intensivists)TX
Certified Registered Nurse Anesthetist (Crna)TX
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
A N E S T H E S I O L O G YOK

Reviews

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Frequently asked questions

What NPI should I save for DUSTIN PATRICK RENFRO (CRNA)?
Save NPI 1760900955 if you need a stable reference for DUSTIN PATRICK RENFRO (CRNA).
Is DUSTIN PATRICK RENFRO (CRNA)'s NPI currently valid?
The extract we use shows DUSTIN PATRICK RENFRO (CRNA) as active.
What kind of provider is DUSTIN PATRICK RENFRO (CRNA)?
The page reflects Certified Registered Nurse Anesthetist for DUSTIN PATRICK RENFRO (CRNA). Clinical services aligned with this taxonomy classification.
What location metadata exists for DUSTIN PATRICK RENFRO (CRNA)?
The page summarizes Bixby, Oklahoma for DUSTIN PATRICK RENFRO (CRNA); expand the address list for detail.
What if Bixby, Oklahoma seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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