TERESA A MITCHELL (APRN, CRNA) – Certified Registered Nurse Anesthetist, NPI 1386914653
Certified Registered Nurse Anesthetist
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Profile Insights
NPPES metrics only — not quality of care.
2,265 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IL
Provider Addresses for TERESA A MITCHELL (APRN, CRNA)
11781 LEE JACKSON MEMORIAL HWY
SUITE 550
FAIRFAX, VA 220333309
Phone: (571) 777-5106
Fax: (703) 766-9725
Type: Mailing
4646 N MARINE DR
CHICAGO, IL 60640
Phone: (773) 878-8700
Fax: (708) 783-0920
Type: Location
25 N WINFIELD RD
WINFIELD, IL 601901379
Phone: (630) 933-6675
Fax: (630) 933-2614
Type: Mailing
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: 2012-06-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120611000350 | I | Certified Registered Nurse Anesthetist (Crna) | IL | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 28 | 28 | $0 |
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 19 | 19 | $0 |
Insurance plans in this area (ZIP 22033)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| - | IL | |
| N E U R O L O G Y | IL | |
| Family Practice | IL | |
| Internal Medicine, Pediatric Medicine | IL | |
| Hospitalist, Family Practice | TX | |
| - | IL | |
| - | IL | |
| - | IL | |
| - | IL |
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