GARRICK MARK WHITLOCK (CRNA) – Certified Registered Nurse Anesthetist, NPI 1023346491

GARRICK MARK WHITLOCK (CRNA) is a healthcare provider. based in Providence, Rhode Island. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. RNA36728 (RI). The NPI Number for GARRICK MARK WHITLOCK (CRNA) is 1023346491

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
GARRICK MARK WHITLOCK (CRNA)
NPI
1023346491
Phone
Not provided
Address
PO BOX 6064
Enumeration Date
24 November 2009
Last Update Date
28 December 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5087540700
Graduation Year
2009 (17 years ago)
PAC ID
9234265133
Group Practice PAC ID
2668732041
Professional Enrollment ID
I20130104000297
Address ID
MA016053908WO300XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:16State licenses:2Digital endpointsOther names

201 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in RI

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Provider Addresses for GARRICK MARK WHITLOCK (CRNA)

  • Providence Post Office, 411, 100 North, Providence, Cache County, Utah, 84332, United States

    PROVIDENCE, RI 02904

    Phone:

    Type: Mailing

  • Roger Williams Medical Center, 825, Chalkstone Avenue, Manton, Providence, Providence County, Rhode Island, 02908, United States

    PROVIDENCE, RI 029084728

    Phone: (401) 456-2000

    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: 2013-01-04

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130104000297ICertified Registered Nurse Anesthetist (Crna)MATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J2704Injection, propofol, 10 mg51216$0
J7120Ringers lactate infusion, up to 1000 cc1616$0
00812Anesthesia for exam of colon using an endoscope1111$0
View full utilization report →

Insurance plans in this area (ZIP 02904)

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Provider's Procedures

GARRICK MARK WHITLOCK (CRNA) performs procedures in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETRI00142Anesthesia for lens surgery3030

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2668732041View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)NH
Certified Registered Nurse Anesthetist (Crna)CT
Certified Registered Nurse Anesthetist (Crna)MA
A N E S T H E S I O L O G YME
Certified Registered Nurse Anesthetist (Crna)MA
Certified Registered Nurse Anesthetist (Crna)MA
Certified Registered Nurse Anesthetist (Crna)MA
Certified Registered Nurse Anesthetist (Crna)ME
Certified Registered Nurse Anesthetist (Crna)ME
Certified Registered Nurse Anesthetist (Crna)MA

Reviews

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Frequently asked questions

Can I use this page to confirm GARRICK MARK WHITLOCK (CRNA)'s NPI?
Yes. GARRICK MARK WHITLOCK (CRNA) is listed with NPI 1023346491 in the public NPI dataset.
Does the file indicate GARRICK MARK WHITLOCK (CRNA) is practicing under active NPI?
Directory data currently reports GARRICK MARK WHITLOCK (CRNA) as active.
What is GARRICK MARK WHITLOCK (CRNA)'s primary classification?
Certified Registered Nurse Anesthetist is the headline specialty for GARRICK MARK WHITLOCK (CRNA) here. Clinical services aligned with this taxonomy classification.
Does GARRICK MARK WHITLOCK (CRNA) list a practice location?
Patients near Providence, Rhode Island may find GARRICK MARK WHITLOCK (CRNA) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.