GARY JOSEPH JARVIS (CRNA) – Certified Registered Nurse Anesthetist, NPI 1134717283

GARY JOSEPH JARVIS (CRNA) is a healthcare provider. based in Fort sam houston, Texas. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 2023041151 (MO). The NPI Number for GARY JOSEPH JARVIS (CRNA) is 1134717283

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
GARY JOSEPH JARVIS (CRNA)
NPI
1134717283
Phone
Not provided
Address
3551 ROGER BROOKE DR
Enumeration Date
5 January 2021
Last Update Date
17 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3149965000
Graduation Year
2020 (6 years ago)
PAC ID
8325454002
Group Practice PAC ID
3476461955
Professional Enrollment ID
I20231127002320
Address ID
MO631312329SA3015XRDXX400

Contacts

Secure Messaging
MUDOCREFERRAL@direct.health.missouri.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness95
Years active:5State licenses:5Other names

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

Provider Addresses for GARY JOSEPH JARVIS (CRNA)

  • 3551 ROGER BROOKE DR

    FORT SAM HOUSTON, TX 782344504

    Phone:

    Type: Mailing

  • 7 Independence Pt Ste 300

    Greenville, SC 296154569

    Phone: (864) 522-3700

    Fax: (864) 522-3705

    Type: Location

  • 4502 Medical Dr

    San Antonio, TX 782294402

    Phone: (210) 358-4000

    Type: Location

  • 2430 Emerald Pl Ste 201

    Greenville, NC 278345743

    Phone: (252) 752-2140

    Type: Location

  • 1125 Madison St

    Jefferson City, MO 651015227

    Phone: (573) 632-5357

    Fax: (573) 632-5876

    Type: Location

  • 12222 Merit Dr Ste 600

    Dallas, TX 752513294

    Phone: (972) 715-5000

    Fax: (972) 715-9976

    Type: Location

  • 300 E MCBEE AVE FL 4

    GREENVILLE, SC 296012842

    Phone: (864) 522-8603

    Type: Mailing

  • 7 INDEPENDENCE PT STE 300

    GREENVILLE, SC 296154569

    Phone: (864) 522-3700

    Fax: (864) 522-3705

    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 $22.

Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.

Last reported payment date: 2023-01-25 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($22).

Total Amount

$22

General + Research + Ownership

Payments

1

Total payment records

General Amount

$22

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-25

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2023-11-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20210303002403ICertified Registered Nurse Anesthetist (Crna)TXTBD
I20220825001164ICertified Registered Nurse Anesthetist (Crna)SCTBD
I20230328002917ICertified Registered Nurse Anesthetist (Crna)NCTBD
I20231127002320ICertified Registered Nurse Anesthetist (Crna)MOTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78234)

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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: 3476461955View full group profile
NameSpecialtyState
Physician AssistantMO
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)MO
-MO
Certified Registered Nurse Anesthetist (Crna)MO
A N E S T H E S I O L O G YMO
O B S T E T R I C S/ G Y N E C O L O G YCA
Certified Registered Nurse Anesthetist (Crna)MO
O B S T E T R I C S/ G Y N E C O L O G YMO
A N E S T H E S I O L O G YMO

Reviews

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Frequently asked questions

Does GARY JOSEPH JARVIS (CRNA) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — GARY JOSEPH JARVIS (CRNA) uses 1134717283.
Does the file indicate GARY JOSEPH JARVIS (CRNA) is practicing under active NPI?
Directory data currently reports GARY JOSEPH JARVIS (CRNA) as active.
What is GARY JOSEPH JARVIS (CRNA) best known for clinically?
Directory data describes GARY JOSEPH JARVIS (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Does GARY JOSEPH JARVIS (CRNA) list a practice location?
Patients near Fort Sam Houston, Texas may find GARY JOSEPH JARVIS (CRNA) in results; validate coverage separately.
Why does GARY JOSEPH JARVIS (CRNA) have multiple addresses?
9 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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