MIRIAM NDENECHO – Certified Registered Nurse Anesthetist, NPI 1093317679
Certified Registered Nurse Anesthetist
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Profile Insights
NPPES metrics only — not quality of care.
2,265 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IL
Provider Addresses for MIRIAM NDENECHO
6972 BLACK MESQUITE DR
EL PASO, TX 799342233
Phone: (618) 900-2692
Type: Mailing
1001 ENCLAVE BLVD APT 506
EDWARDSVILLE, IL 620257462
Phone: (618) 900-2692
Type: Location
1001 Enclave Blvd Apt 506
Edwardsville, IL 620257462
Phone: (618) 900-2692
Type: Location
1010 ENCLAVE BLVD APT 505
EDWARDSVILLE, IL 620252728
Phone: (201) 456-8188
Type: Mailing
PO BOX 844658
DALLAS, TX 752844658
Phone: (800) 994-0371
Fax: (254) 215-9722
Type: Mailing
2401 S 31ST ST
TEMPLE, TX 765080001
Phone: (254) 724-2111
Fax: (254) 724-7603
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $21.
Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.
Last reported payment date: 2023-11-02 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($21).
Total Amount
$21
General + Research + Ownership
Payments
1
Total payment records
General Amount
$21
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Edwards Lifesciences Corporation | $21 |
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: 2025-07-31
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20231009000310 | I | Certified Registered Nurse Anesthetist (Crna) | TX | TBD |
| I20250501002729 | I | Certified Registered Nurse Anesthetist (Crna) | NY | TBD |
| I20250731003331 | I | Certified Registered Nurse Anesthetist (Crna) | IA | 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.
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 79934)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| A N E S T H E S I O L O G Y | TX | |
| A N E S T H E S I O L O G Y | TX | |
| Anesthesiology Assistant | TX | |
| Certified Registered Nurse Anesthetist (Crna) | MD | |
| A N E S T H E S I O L O G Y | NM | |
| 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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