LOUIS JOHN III FEDOR (CRNA) – Certified Registered Nurse Anesthetist, NPI 1104062116

Certified Registered Nurse Anesthetist

LOUIS JOHN III FEDOR (CRNA) is a healthcare provider. based in Knoxville, Tennessee. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 13859 (TN). The NPI Number for LOUIS JOHN III FEDOR (CRNA) is 1104062116

Main info

Male

18 Years Of Experience

Accepts Medicare Assignment

Name

LOUIS JOHN III FEDOR (CRNA)

NPI

1104062116

Phone

(865) 546-8040

Address

501 20TH ST

Enumeration Date

22 December 2008

Last Update Date

25 June 2010

Doctor Profile

Medical School Name

OTHER

Secondary Phone

8653311111

Graduation Year

2008 (18 years ago)

PAC ID

1759438633

Group Practice PAC ID

6901795830

Professional Enrollment ID

I20090410000040

Address ID

TN379162307KN1901XAVEX300

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience48

Completeness75

Years active:17State licenses:1Digital endpointsOther names

2,753 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TN

Loading map...

Provider Addresses for LOUIS JOHN III FEDOR (CRNA)

501, 20th Street, Fort Sanders, Knoxville, Knox County, Tennessee, 37916, United States
STE 606
KNOXVILLE, TN 379161809
Phone: (865) 546-8040
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $71.

Total Amount is formed as General ($71) + Research ($0) + Ownership ($0) = $71.

Last reported payment date: 2024-09-19 • Largest payer in this snapshot: Boston Scientific Corporation ($71).

Total Amount

$71

General + Research + Ownership

Payments

Total payment records

General Amount

$71

General payments

Research Amount

Research funding

Ownership Amount

Ownership interests

Ownership Count

Ownership records

Last Payment Date

2024-09-19

Latest reported date

Top Companies

Largest payers in this snapshot

Company	Amount
Boston Scientific Corporation	$71

View all Open Payments →|Open Payments Risk Radar →

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: 2009-04-10

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

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
I20090410000040	I	Certified Registered Nurse Anesthetist (Crna)	TN	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.

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

HCPCS	Description	Services	Beneficiaries	Medicare allowed
00731	Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope	16	16	$0

View full utilization report →

Insurance plans in this area (ZIP 37916)

Loading plans...

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: 6901795830View full group profile

Name	Specialty	State
DANIELA APOSTOAEI (M.D.)	A N E S T H E S I O L O G Y	TN
MICHELLE L PALMER (CRNA)	-	TN
SARA TAYLOR WOODING (CRNA)	Certified Registered Nurse Anesthetist (Crna)	SC
DR. GREGORY NEIL DUNN (MD)	A N E S T H E S I O L O G Y	AE
HARBER INGLE (CRNA)	-	TN
HOPE K MILLER (CRNA)	Certified Registered Nurse Anesthetist (Crna)	TN
KELEIGH ANN GALLOWAY (DNP, APRN, CRNA)	Certified Registered Nurse Anesthetist (Crna)	TN
ANGELA D MCAMIS (CRNA)	Certified Registered Nurse Anesthetist (Crna)	SC
BRIAN DALE (CRNA)	Certified Registered Nurse Anesthetist (Crna)	TN
TRACEY L ACHENBACH (CRNA)	Certified Registered Nurse Anesthetist (Crna)	AL

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.

Frequently asked questions

Is LOUIS JOHN III FEDOR (CRNA) listed with a National Provider Identifier?

Yes — LOUIS JOHN III FEDOR (CRNA) has NPI 1104062116 on file in the registry.

Would LOUIS JOHN III FEDOR (CRNA) appear as active to a payer?

You can treat LOUIS JOHN III FEDOR (CRNA) as active for directory purposes; confirm clinical privileges separately.

What kind of doctor is LOUIS JOHN III FEDOR (CRNA)?

LOUIS JOHN III FEDOR (CRNA) is associated with Certified Registered Nurse Anesthetist in the directory — Clinical services aligned with this taxonomy classification.

Is LOUIS JOHN III FEDOR (CRNA) located near Knoxville?

LOUIS JOHN III FEDOR (CRNA) currently maps to Knoxville, Tennessee in this extract.

Does inactive status remove historical data?

Historical rows can remain visible after status changes — read the dates carefully.