THOMAS LAMAR MOURITSEN – Certified Registered Nurse Anesthetist, NPI 1811537012
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 THOMAS LAMAR MOURITSEN
3325 Pocahontas Rd
Baker City, OR 978141464
Phone: (541) 523-1797
Fax: (541) 523-1799
Type: Location
430 E 4TH STREET 16A
WINNEMUCCA, NV 89445
Phone:
Type: Mailing
PO BOX 190930
BOISE, ID 837190930
Phone: (208) 367-5170
Type: Mailing
118 E HASKELL ST
WINNEMUCCA, NV 894453247
Phone: (775) 623-5222
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: 2021-03-05
PECOS data refreshed: 2026-05-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200219000031 | I | Certified Registered Nurse Anesthetist (Crna) | NV | TBD |
| I20210305000270 | 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 |
|---|---|---|---|---|
| 01402 | Anesthesia for procedure for total knee joint replacement | 12 | 12 | $0 |
Insurance plans in this area (ZIP 97814)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | SC | |
| Certified Registered Nurse Anesthetist (Crna) | OR | |
| O P H T H A L M O L O G Y | OR | |
| - | AR | |
| - | ID | |
| - | OR | |
| Nurse Practitioner | ID | |
| Family Practice | OR | |
| Orthopedic Surgery | FL | |
| - | WA |
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