CARLA S ROSENBLUM (CRNA) – Certified Registered Nurse Anesthetist, NPI 1376616151
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 CARLA S ROSENBLUM (CRNA)
400 9th St
Florence, OR 974397398
Phone: (541) 997-8412
Fax: (541) 902-1320
Type: Location
1115 SE 164TH AVE DEPT 358
VANCOUVER, WA 986838004
Phone: (360) 729-1253
Fax: (360) 729-3185
Type: Mailing
1800 N CALIFORNIA ST
STOCKTON, CA 952046019
Phone: (209) 467-6556
Type: Location
PeaceHealth Peace Harbor Medical Center, 400, 9th Street, Florence, Lane County, Oregon, 97439, United States
FLORENCE, OR 974397398
Phone: (541) 997-8412
Fax: (541) 902-1320
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: 2020-11-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 6 Medicare enrollment records; no due dates published yet.
Enrollment records
6
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 |
|---|---|---|---|---|
| I20070308000255 | I | Certified Registered Nurse Anesthetist (Crna) | CO | TBD |
| I20140604001243 | I | Certified Registered Nurse Anesthetist (Crna) | NM | TBD |
| I20140916002282 | I | Certified Registered Nurse Anesthetist (Crna) | TX | TBD |
| I20141229000537 | I | Certified Registered Nurse Anesthetist (Crna) | CA | TBD |
| I20200417003001 | I | Certified Registered Nurse Anesthetist (Crna) | OR | TBD |
| I20201117000581 | I | Certified Registered Nurse Anesthetist (Crna) | FL | 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 97439)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | OR | |
| Nurse Practitioner | OR | |
| - | OR | |
| Family Practice, Hospice/Palliative Care | OR | |
| General Surgery | OK | |
| - | OR | |
| - | CA | |
| Internal Medicine, Pediatric Medicine | OR | |
| Internal Medicine | OR | |
| Internal Medicine | CA |
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