DANIEL CRUTTENDEN (CRNA) – Certified Registered Nurse Anesthetist, NPI 1083246631

DANIEL CRUTTENDEN (CRNA) is a healthcare provider. based in Austin, Texas. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. AP145077 (TX). The NPI Number for DANIEL CRUTTENDEN (CRNA) is 1083246631

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
DANIEL CRUTTENDEN (CRNA)
NPI
1083246631
Phone
(512) 454-2554
Address
3705 Medical Pkwy Ste 570
Enumeration Date
11 February 2020
Last Update Date
10 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8019443188
Graduation Year
2019 (7 years ago)
PAC ID
7618305475
Group Practice PAC ID
9830174150
Professional Enrollment ID
I20220921003447
Address ID
UT841216939SA6360X3000301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:6State licenses:2Digital endpointsOther names

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

Provider Addresses for DANIEL CRUTTENDEN (CRNA)

  • 3705 Medical Pkwy Ste 570

    Austin, TX 787051024

    Phone: (512) 454-2554

    Fax: (512) 454-2824

    Type: Location

  • 12222 Merit Dr Ste 600

    Dallas, TX 752513294

    Phone: (972) 715-5000

    Fax: (972) 715-9976

    Type: Location

  • 3705 MEDICAL PKWY STE 570

    AUSTIN, TX 787051024

    Phone: (512) 454-2554

    Fax: (512) 454-2824

    Type: Location

  • PO BOX 840853

    DALLAS, TX 752840853

    Phone: (972) 233-1999

    Fax: (972) 233-3666

    Type: Mailing

  • 3340 N CENTER ST # 800

    LEHI, UT 840437406

    Phone: (801) 990-1910

    Type: Mailing

  • 12222 MERIT DR STE 600

    DALLAS, TX 752513294

    Phone: (972) 715-5000

    Fax: (972) 715-9976

    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: 2022-09-21

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
I20220921003447ICertified Registered Nurse Anesthetist (Crna)UTTBD

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
00811Anesthesia for other procedure on large bowel using an endoscope7069$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope3232$0
00812Anesthesia for exam of colon using an endoscope2626$0
00813Anesthesia for procedure on small and large bowel using an endoscope1515$0
View full utilization report →

Insurance plans in this area (ZIP 78705)

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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: 9830174150View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)UT
Physician AssistantUT
Certified Registered Nurse Anesthetist (Crna)UT
G A S T R O E N T E R O L O G YUT
G A S T R O E N T E R O L O G YUT
-UT
Certified Registered Nurse Anesthetist (Crna)UT
G A S T R O E N T E R O L O G YUT
Certified Registered Nurse Anesthetist (Crna)UT

Reviews

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Frequently asked questions

What federal number belongs to DANIEL CRUTTENDEN (CRNA)?
The federal identifier for DANIEL CRUTTENDEN (CRNA) is NPI 1083246631.
Is DANIEL CRUTTENDEN (CRNA) active in the national directory?
DANIEL CRUTTENDEN (CRNA)'s public NPI profile is in an active state.
What kind of provider is DANIEL CRUTTENDEN (CRNA)?
The page reflects Certified Registered Nurse Anesthetist for DANIEL CRUTTENDEN (CRNA). Clinical services aligned with this taxonomy classification.
What location metadata exists for DANIEL CRUTTENDEN (CRNA)?
The page summarizes Austin, Texas for DANIEL CRUTTENDEN (CRNA); expand the address list for detail.
What if Austin, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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