JOHNATHAN CULP (CRNA) – Certified Registered Nurse Anesthetist, NPI 1063986537
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
512 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in OR
Provider Addresses for JOHNATHAN CULP (CRNA)
3181 SW Sam Jackson Park Rd
Portland, OR 972393011
Phone: (503) 494-7641
Fax: (503) 494-4661
Type: Location
Band Box Place, Dallas, Dallas County, Texas, 75244, United States
DALLAS, TX 752840853
Phone: (972) 233-1999
Fax: (972) 233-3666
Type: Mailing
Citywest Boulevard, Houston, Harris County, Texas, 77042-9998, United States
HOUSTON, TX 770422549
Phone: (713) 620-4220
Fax: (713) 458-4220
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: 2024-02-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190415000622 | I | Certified Registered Nurse Anesthetist (Crna) | TX | TBD |
| I20220823003886 | I | Certified Registered Nurse Anesthetist (Crna) | CO | TBD |
| I20240209000259 | I | Certified Registered Nurse Anesthetist (Crna) | OR | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97239)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| A N E S T H E S I O L O G Y | FL | |
| - | OR | |
| - | OR | |
| - | OR | |
| - | OR | |
| - | OR | |
| - | OR | |
| Certified Registered Nurse Anesthetist (Crna) | HI | |
| A N E S T H E S I O L O G Y | MN | |
| A N E S T H E S I O L O G Y | CA |
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