MR. JEFFREY FRED DAVANG (CRNA) – Certified Registered Nurse Anesthetist, NPI 1003806464

MR. JEFFREY FRED DAVANG (CRNA) is a healthcare provider. based in Wharton, Texas. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 642422 (TX). The NPI Number for MR. JEFFREY FRED DAVANG (CRNA) is 1003806464

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
MR. JEFFREY FRED DAVANG (CRNA)
NPI
1003806464
Phone
(713) 252-5200
Address
3719 COUNTY ROAD 131
Enumeration Date
26 October 2005
Last Update Date
5 August 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9796436251
Graduation Year
2001 (25 years ago)
PAC ID
6002802402
Group Practice PAC ID
4385868512
Professional Enrollment ID
I20050110001089
Address ID
TX774379535EL303XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

5,279 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TX

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Provider Addresses for MR. JEFFREY FRED DAVANG (CRNA)

  • 3719, County Road 131, Wharton County, Texas, 77488, United States

    WHARTON, TX 774888535

    Phone: (713) 252-5200

    Fax: (979) 563-1693

    Type: Mailing

  • 1501, East Mockingbird Lane, Victoria, Victoria County, Texas, 77904, United States

    101

    VICTORIA, TX 779042155

    Phone: (361) 573-2481

    Fax: (361) 576-2434

    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: 2005-01-10

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

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
I20050110001089ICertified Registered Nurse Anesthetist (Crna)TXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77488)

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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: 4385868512View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX

Reviews

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Frequently asked questions

Does MR. JEFFREY FRED DAVANG (CRNA) have a public NPI I can cite?
Public records show MR. JEFFREY FRED DAVANG (CRNA) under NPI 1003806464.
Does the public listing show MR. JEFFREY FRED DAVANG (CRNA) as active?
MR. JEFFREY FRED DAVANG (CRNA)'s NPI record reflects an active status in NPPES.
What type of care does MR. JEFFREY FRED DAVANG (CRNA) provide?
MR. JEFFREY FRED DAVANG (CRNA)'s profile centers on Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Which community is linked to MR. JEFFREY FRED DAVANG (CRNA)?
MR. JEFFREY FRED DAVANG (CRNA) shows a connection to Wharton, Texas in registry-derived data.
Who maintains MR. JEFFREY FRED DAVANG (CRNA)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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