KRISTEN JEAN VITOUSEK (CRNA) – Certified Registered Nurse Anesthetist, NPI 1124517917
Certified Registered Nurse Anesthetist
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Profile Insights
NPPES metrics only — not quality of care.
1,060 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in AZ
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Provider Addresses for KRISTEN JEAN VITOUSEK (CRNA)
PO BOX 844058
DALLAS, TX 752844058
Phone: (303) 438-3999
Fax: (303) 780-0787
Type: Mailing
Mayo Clinic Hospital Scottsdale Campus, 13400, East Shea Boulevard, Scottsdale, Maricopa County, Arizona, 85259, United States
SCOTTSDALE, AZ 852595499
Phone: (480) 301-8000
Type: Mailing
2800 10TH AVE N
BILLINGS, MT 591010703
Phone: (303) 438-3999
Fax: (303) 780-0787
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: 2023-11-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20180523002222 | I | Certified Registered Nurse Anesthetist (Crna) | AZ | TBD |
| I20231120002463 | I | Certified Registered Nurse Anesthetist (Crna) | MT | 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 75284)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MT | |
| Hospitalist, Internal Medicine | MT | |
| Family Practice | MT | |
| A N E S T H E S I O L O G Y | ID | |
| Physician Assistant | MT | |
| Nurse Practitioner | MT | |
| Internal Medicine, Hematology/Oncology | MT | |
| Family Practice, Addiction Medicine | MN | |
| - | OK | |
| Physician Assistant | WA |
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