MR. ALEXANDER SAMUEL WHIDDEN (CRNA) – Certified Registered Nurse Anesthetist, NPI 1144302639
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
512 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in OR
Provider Addresses for MR. ALEXANDER SAMUEL WHIDDEN (CRNA)
94220 4TH ST
GOLD BEACH, OR 974447772
Phone: (541) 247-3000
Fax: (541) 247-3106
Type: Mailing
SR 664, Logan, Hocking County, Ohio, United States
SUITE A
LOGAN, OH 431388540
Phone: (740) 380-8068
Fax: (740) 380-8152
Type: Location
94220 4th St
Gold Beach, OR 974447772
Phone: (541) 247-3000
Fax: (541) 247-3106
Type: Location
PO BOX 1189
CORVALLIS, OR 973391189
Phone:
Type: Mailing
1046 6TH AVE SW
ALBANY, OR 973211916
Phone: (541) 812-4000
Type: Location
228, Logan Road, Buranda, Woolloongabba, Brisbane City, Queensland, 4120, Australia
LOGAN, OH 431380228
Phone: (740) 380-8068
Fax: (740) 380-8152
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2004-10-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041013000630 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00142 | Anesthesia for lens surgery | 103 | 87 | $0 |
Insurance plans in this area (ZIP 97444)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| Physical Therapist In Private Practice | MT | |
| P S Y C H I A T R Y | OR | |
| Physician Assistant | OR | |
| - | OR | |
| - | OR | |
| Occupational Therapist In Private Practice | OR | |
| - | OR | |
| O B S T E T R I C S/ G Y N E C O L O G Y | PA | |
| - | OR |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.