ABRAHAM CROCKETT (RN) – Certified Registered Nurse Anesthetist, NPI 1821464264
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
512 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in OR
Provider Addresses for ABRAHAM CROCKETT (RN)
1253 NW CANAL BLVD
REDMOND, OR 977561334
Phone: (541) 526-6576
Fax: (541) 526-6675
Type: Location
930 SW Abbey St
Newport, OR 973654820
Phone: (541) 265-2244
Type: Location
20 FRUIT ST APT 1
BANGOR, ME 044015566
Phone: (909) 233-5018
Type: Mailing
930 SW ABBEY ST
NEWPORT, OR 973654820
Phone: (541) 265-2244
Type: Location
PO BOX 2847
CORVALLIS, OR 973392847
Phone:
Type: Mailing
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.
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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: 2015-11-13
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 |
|---|---|---|---|---|
| I20151113000144 | 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 |
|---|---|---|---|---|
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 64 | 63 | $0 |
| 00812 | Anesthesia for exam of colon using an endoscope | 30 | 30 | $0 |
| 00813 | Anesthesia for procedure on small and large bowel using an endoscope | 23 | 23 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 19 | 19 | $0 |
Insurance plans in this area (ZIP 97756)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| A N E S T H E S I O L O G Y | OR | |
| A N E S T H E S I O L O G Y | OR | |
| A N E S T H E S I O L O G Y | OR | |
| Certified Registered Nurse Anesthetist (Crna) | NC | |
| A N E S T H E S I O L O G Y | OR | |
| A N E S T H E S I O L O G Y | OR | |
| A N E S T H E S I O L O G Y | OR | |
| A N E S T H E S I O L O G Y | OR | |
| A N E S T H E S I O L O G Y | OR | |
| A N E S T H E S I O L O G Y | IN |
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