EDWIN BULLOCH (CRNA) – Certified Registered Nurse Anesthetist, NPI 1922311133

EDWIN BULLOCH (CRNA) is a healthcare provider. based in Vernal, Utah. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. AA103013 (ME). The NPI Number for EDWIN BULLOCH (CRNA) is 1922311133

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
EDWIN BULLOCH (CRNA)
NPI
1922311133
Phone
(207) 659-8810
Address
827 W 350 S
Enumeration Date
16 July 2010
Last Update Date
29 May 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2006 (20 years ago)
PAC ID
3577688068
Professional Enrollment ID
I20141126001313
Address ID
UT840704103SA10150PKWY408
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:15State licenses:2Digital endpointsOther names

265 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in UT

Provider Addresses for EDWIN BULLOCH (CRNA)

  • 827 W 350 S

    VERNAL, UT 840782941

    Phone: (207) 659-8810

    Type: Mailing

  • 150 W 100 N

    VERNAL, UT 840782036

    Phone: (207) 659-8810

    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: 2014-11-26

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
I20141126001313ICertified Registered Nurse Anesthetist (Crna)UTTBD

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
00142Anesthesia for lens surgery3228$0
View full utilization report →

Insurance plans in this area (ZIP 84078)

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Reviews

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Frequently asked questions

Where can patients find EDWIN BULLOCH (CRNA)'s NPI?
You can confirm EDWIN BULLOCH (CRNA) with NPI 1922311133; it appears in the national provider directory.
Does this profile mean EDWIN BULLOCH (CRNA) is currently active?
Yes — EDWIN BULLOCH (CRNA) appears active in the national provider directory.
What does EDWIN BULLOCH (CRNA) treat or focus on?
Patients typically see EDWIN BULLOCH (CRNA) under the specialty Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What location metadata exists for EDWIN BULLOCH (CRNA)?
The page summarizes Vernal, Utah for EDWIN BULLOCH (CRNA); expand the address list for detail.
What if Vernal, Utah seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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