RANDY KEILICH INGMIRE (CRNA) – Certified Registered Nurse Anesthetist, NPI 1033239157

RANDY KEILICH INGMIRE (CRNA) is a healthcare provider. based in Dallas, Texas. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 646815 (TX). The NPI Number for RANDY KEILICH INGMIRE (CRNA) is 1033239157

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
RANDY KEILICH INGMIRE (CRNA)
NPI
1033239157
Phone
(956) 754-9687
Address
10455 N CENTRAL EXPY
Enumeration Date
30 March 2007
Last Update Date
3 September 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8008758523
Graduation Year
1997 (29 years ago)
PAC ID
4880636075
Group Practice PAC ID
8325217904
Professional Enrollment ID
I20050527000238
Address ID
TX751492433ME1011XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

5,281 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TX

Provider Addresses for RANDY KEILICH INGMIRE (CRNA)

  • 10455 N CENTRAL EXPY

    SUITE 109-347

    DALLAS, TX 752312213

    Phone: (956) 754-9687

    Mailing address matches the actual address.

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: 2005-05-27

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
I20050527000238ICertified 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00812Anesthesia for exam of colon using an endoscope139137$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope6564$0
View full utilization report →

Insurance plans in this area (ZIP 75231)

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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: 8325217904View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)NJ
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX

Reviews

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Frequently asked questions

Does RANDY KEILICH INGMIRE (CRNA) have a public NPI I can cite?
Public records show RANDY KEILICH INGMIRE (CRNA) under NPI 1033239157.
Should I treat RANDY KEILICH INGMIRE (CRNA) as an active provider?
Patients and plans typically see RANDY KEILICH INGMIRE (CRNA) as active in the national extract.
What services align with RANDY KEILICH INGMIRE (CRNA)'s listing?
RANDY KEILICH INGMIRE (CRNA)'s public classification highlights Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is RANDY KEILICH INGMIRE (CRNA) tied to Dallas, Texas?
If you are local to Dallas, Texas, RANDY KEILICH INGMIRE (CRNA) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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