COFFEE BOURNE (CRNA) – Certified Registered Nurse Anesthetist, NPI 1861939191
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,883 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in VA
Provider Addresses for COFFEE BOURNE (CRNA)
1300 E Marshall St
Richmond, VA 232985028
Phone: (804) 828-2207
Fax: (804) 828-8300
Type: Location
1001 E Leigh St
Richmond, VA 232985004
Phone: (804) 828-2207
Fax: (804) 828-8300
Type: Location
9109 Stony Point Dr
Richmond, VA 232351979
Phone: (804) 828-2207
Fax: (804) 828-8300
Type: Location
9105 Stony Point Dr
Richmond, VA 232351979
Phone: (804) 828-2207
Fax: (804) 828-8300
Type: Location
1000 E Broad St
Richmond, VA 232191930
Phone: (804) 828-2207
Fax: (804) 828-8300
Type: Location
11958 W Broad St
Henrico, VA 232331007
Phone: (804) 364-6640
Fax: (804) 364-6642
Type: Location
618 Hospital Rd
Tappahannock, VA 225605000
Phone: (804) 443-6282
Fax: (804) 443-6150
Type: Location
1250 E MARSHALL ST
RICHMOND, VA 232985023
Phone: (804) 828-2207
Fax: (804) 828-8300
Type: Location
3100, Spring Forest Road, Mini City, Raleigh, Wake County, North Carolina, 27616, United States
STE 130
RALEIGH, NC 276162880
Phone: (919) 882-7908
Fax: (919) 873-9821
Type: Mailing
Saint Mary's Hospital, 5801, Bremo Road, Westhampton, Richmond, Henrico County, Virginia, 23226, United States
RICHMOND, VA 232261907
Phone: (804) 288-6258
Type: Location
PO BOX 780125
PHILADELPHIA, PA 191780125
Phone: (804) 922-4844
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $27.
Total Amount is formed as General ($27) + Research ($0) + Ownership ($0) = $27.
Last reported payment date: 2023-08-28 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($27).
Total Amount
$27
General + Research + Ownership
Payments
1
Total payment records
General Amount
$27
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Merck Sharp & Dohme LLC | $27 |
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: 2017-05-03
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170503001016 | I | Certified Registered Nurse Anesthetist (Crna) | VA | 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 |
|---|---|---|---|---|
| 00142 | Anesthesia for lens surgery | 21 | 19 | $0 |
Insurance plans in this area (ZIP 23298)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| A N E S T H E S I O L O G Y | VA | |
| A N E S T H E S I O L O G Y | VA | |
| Certified Registered Nurse Anesthetist (Crna) | VA | |
| Certified Registered Nurse Anesthetist (Crna) | VA | |
| Certified Registered Nurse Anesthetist (Crna) | VA | |
| Certified Registered Nurse Anesthetist (Crna) | VA | |
| A N E S T H E S I O L O G Y | VA | |
| A N E S T H E S I O L O G Y | MA | |
| Certified Registered Nurse Anesthetist (Crna) | VA | |
| Certified Registered Nurse Anesthetist (Crna) | VA |
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