VERNON CHAD NIELSEN (CRNA) – Certified Registered Nurse Anesthetist, NPI 1043775604

VERNON CHAD NIELSEN (CRNA) is a healthcare provider. based in West valley city, Utah. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. NA95001084 (CA). The NPI Number for VERNON CHAD NIELSEN (CRNA) is 1043775604

Main info

Male
Sole Proprietor
8 Years Of Experience
Name
VERNON CHAD NIELSEN (CRNA)
NPI
1043775604
Phone
(801) 349-9790
Address
3886 S 1580 W
Enumeration Date
7 February 2019
Last Update Date
25 February 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5594375645
Graduation Year
2018 (8 years ago)
PAC ID
7214278159
Group Practice PAC ID
8527967082
Professional Enrollment ID
I20190403000405
Address ID
CA937203378FR1360XAVEX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

2,456 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in CA

Provider Addresses for VERNON CHAD NIELSEN (CRNA)

  • 1580 West, West Valley City, Salt Lake County, Utah, 84199, United States

    WEST VALLEY CITY, UT 841194842

    Phone: (801) 349-9790

    Type: Mailing

  • 2755 Herndon Ave

    Clovis, CA 936116800

    Phone: (559) 324-4000

    Type: Location

  • Community Regional Medical Center, 2823, Fresno Street, Fresno, Fresno County, California, 93721, United States

    FRESNO, CA 937211324

    Phone: (559) 459-6000

    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: 2019-04-03

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
I20190403000405ICertified Registered Nurse Anesthetist (Crna)CATBD

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 endoscope7271$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope3434$0
00812Anesthesia for exam of colon using an endoscope3333$0
00813Anesthesia for procedure on small and large bowel using an endoscope2323$0
00142Anesthesia for lens surgery2020$0
View full utilization report →

Insurance plans in this area (ZIP 84119)

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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: 8527967082View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YCA
-CA
A N E S T H E S I O L O G YCA
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)CA
A N E S T H E S I O L O G YCA
Certified Registered Nurse Anesthetist (Crna)CA

Reviews

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Frequently asked questions

Where can patients find VERNON CHAD NIELSEN (CRNA)'s NPI?
You can confirm VERNON CHAD NIELSEN (CRNA) with NPI 1043775604; it appears in the national provider directory.
Is VERNON CHAD NIELSEN (CRNA)'s NPI currently valid?
The extract we use shows VERNON CHAD NIELSEN (CRNA) as active.
What kind of provider is VERNON CHAD NIELSEN (CRNA)?
The page reflects Certified Registered Nurse Anesthetist for VERNON CHAD NIELSEN (CRNA). Clinical services aligned with this taxonomy classification.
Does VERNON CHAD NIELSEN (CRNA) practice in Utah?
You will see West Valley City, Utah on file for VERNON CHAD NIELSEN (CRNA) alongside any extra practice locations.
How can I contact VERNON CHAD NIELSEN (CRNA)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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