MR. JOHN MICHAEL JR. NULTY (CRNA) – Certified Registered Nurse Anesthetist, NPI 1437211737

MR. JOHN MICHAEL JR. NULTY (CRNA) is a healthcare provider. based in Danville, Virginia. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 0024165660 (VA). The NPI Number for MR. JOHN MICHAEL JR. NULTY (CRNA) is 1437211737

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
MR. JOHN MICHAEL JR. NULTY (CRNA)
NPI
1437211737
Phone
(434) 799-2226
Address
142 S MAIN ST
Enumeration Date
14 December 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8046810556
Graduation Year
1996 (30 years ago)
PAC ID
8325003981
Group Practice PAC ID
8729129226
Professional Enrollment ID
I20041123000143
Address ID
VA238363310CH1714XRDXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,883 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in VA

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Provider Addresses for MR. JOHN MICHAEL JR. NULTY (CRNA)

  • Sovah Health - Danville, 142, South Main Street, Miller Park, Danville, Danville City, Virginia, 24541, United States

    DANVILLE, VA 245412922

    Phone: (434) 799-2226

    Type: Location

  • 212, Winrow Drive, Jamestown, Guilford County, North Carolina, 27282, United States

    JAMESTOWN, NY 27282

    Phone: (336) 324-3116

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $209.

Total Amount is formed as General ($209) + Research ($0) + Ownership ($0) = $209.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($75).

Total Amount

$209

General + Research + Ownership

Payments

13

Total payment records

General Amount

$209

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

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: 2007-11-27

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041123000143ICertified Registered Nurse Anesthetist (Crna)VATBD
I20071127000074ICertified Registered Nurse Anesthetist (Crna)NCTBD

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 endoscope7979$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope3736$0
00812Anesthesia for exam of colon using an endoscope3030$0
00813Anesthesia for procedure on small and large bowel using an endoscope2727$0
View full utilization report →

Insurance plans in this area (ZIP 24541)

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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: 8729129226View full group profile
NameSpecialtyState
-VA
-VA
Certified Registered Nurse Anesthetist (Crna)KY
-VI
Certified Registered Nurse Anesthetist (Crna)NC
Certified Registered Nurse Anesthetist (Crna)NC

Reviews

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Frequently asked questions

How do I look up MR. JOHN MICHAEL JR. NULTY (CRNA) by NPI?
Use NPI 1437211737 when you need to reference MR. JOHN MICHAEL JR. NULTY (CRNA) in forms, claims, or directories.
Is MR. JOHN MICHAEL JR. NULTY (CRNA) currently active in the NPI registry?
CMS-published data lists MR. JOHN MICHAEL JR. NULTY (CRNA) as an active registrant.
What field does MR. JOHN MICHAEL JR. NULTY (CRNA) work in?
You can think of MR. JOHN MICHAEL JR. NULTY (CRNA) as practicing within Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What location shows for MR. JOHN MICHAEL JR. NULTY (CRNA)?
We surface Danville, Virginia for MR. JOHN MICHAEL JR. NULTY (CRNA) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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