MARK EDWARD ALLEN – Certified Registered Nurse Anesthetist, NPI 1558341420

MARK EDWARD ALLEN is a healthcare provider. based in Fairfax, Virginia. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 0024166765 (VA). The NPI Number for MARK EDWARD ALLEN is 1558341420

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
MARK EDWARD ALLEN
NPI
1558341420
Phone
(703) 766-9737
Address
3998 FAIR RIDGE DR
Enumeration Date
18 January 2006
Last Update Date
23 December 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2523350531
Graduation Year
2005 (21 years ago)
PAC ID
5991803686
Group Practice PAC ID
5294032413
Professional Enrollment ID
I20151123000469
Address ID
NC279093473EL1144XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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

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Provider Addresses for MARK EDWARD ALLEN

  • 3998, Fair Ridge Drive, Pender, Chantilly, Fairfax (city), Virginia, 22033, United States

    STE 300

    FAIRFAX, VA 220332907

    Phone: (703) 766-9737

    Fax: (703) 766-9725

    Type: Mailing

  • Sentara Independence, 800, Independence Boulevard, Haygood Shopping Center, Pembroke Manor, Virginia Beach, Virginia, 23455, United States

    VIRGINIA BEACH, VA 234556005

    Phone: (757) 363-6230

    Fax: (757) 363-6204

    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: 2015-11-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-11-30 (927 days ago).

Enrollment records

2

Earliest due date

2023-11-30

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
I20070604000387ICertified Registered Nurse Anesthetist (Crna)VATBD
I20151123000469ICertified Registered Nurse Anesthetist (Crna)NC2023-11-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1212$0
View full utilization report →

Insurance plans in this area (ZIP 22033)

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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: 5294032413View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)CA
A N E S T H E S I O L O G YNC
Certified Registered Nurse Anesthetist (Crna)NC
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YNC
A N E S T H E S I O L O G YNC
Certified Registered Nurse Anesthetist (Crna)VA
A N E S T H E S I O L O G YNC
A N E S T H E S I O L O G YMS
A N E S T H E S I O L O G YIL

Reviews

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Frequently asked questions

How is MARK EDWARD ALLEN identified in CMS data?
CMS-hosted NPPES data lists MARK EDWARD ALLEN with NPI 1558341420.
Does the file indicate MARK EDWARD ALLEN is practicing under active NPI?
Directory data currently reports MARK EDWARD ALLEN as active.
What is MARK EDWARD ALLEN's primary classification?
Certified Registered Nurse Anesthetist is the headline specialty for MARK EDWARD ALLEN here. Clinical services aligned with this taxonomy classification.
Where should I expect MARK EDWARD ALLEN on a map?
Expect Fairfax, Virginia as a primary anchor for MARK EDWARD ALLEN unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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