CHARLES DAVID LUMMUS (CRNA) – Certified Registered Nurse Anesthetist, NPI 1124026000

CHARLES DAVID LUMMUS (CRNA) is a healthcare provider. based in Texarkana, Texas. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 244601 (TX). The NPI Number for CHARLES DAVID LUMMUS (CRNA) is 1124026000

Main info

Male
45 Years Of Experience
Accepts Medicare Assignment
Name
CHARLES DAVID LUMMUS (CRNA)
NPI
1124026000
Phone
(903) 735-9802
Address
4100 SUMMERHILL RD
Enumeration Date
13 July 2005
Last Update Date
26 July 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9037934872
Graduation Year
1981 (45 years ago)
PAC ID
1456534338
Group Practice PAC ID
1355606641
Professional Enrollment ID
I20110330000908
Address ID
TX755034607TE5404XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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

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Provider Addresses for CHARLES DAVID LUMMUS (CRNA)

  • 4100, Summerhill Road, Texarkana, Bowie County, Texas, 75503, United States

    TEXARKANA, TX 755032732

    Phone: (903) 735-9802

    Fax: (903) 735-9806

    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: 2011-03-30

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
I20110330000908ICertified 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
J2704Injection, propofol, 10 mg30015$0
View full utilization report →

Insurance plans in this area (ZIP 75503)

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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: 1355606641View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TX
-GA
Certified Registered Nurse Anesthetist (Crna)LA
Certified Registered Nurse Anesthetist (Crna)TX
Anesthesiology, Interventional Pain ManagementTX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)MS
Certified Registered Nurse Anesthetist (Crna)TX

Reviews

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Frequently asked questions

Does CHARLES DAVID LUMMUS (CRNA) have a public NPI I can cite?
Public records show CHARLES DAVID LUMMUS (CRNA) under NPI 1124026000.
Is CHARLES DAVID LUMMUS (CRNA) currently accepting referrals based on NPI status?
Registry metadata lists CHARLES DAVID LUMMUS (CRNA) as active.
What does the directory say CHARLES DAVID LUMMUS (CRNA) does?
Insurance directories may phrase it differently, but here CHARLES DAVID LUMMUS (CRNA) maps to Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to CHARLES DAVID LUMMUS (CRNA)?
CHARLES DAVID LUMMUS (CRNA) is associated with Texarkana, Texas in the same public data insurers reference.
Who maintains CHARLES DAVID LUMMUS (CRNA)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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