DEREK LAWRENCE OWENS (CRNA) – Certified Registered Nurse Anesthetist, NPI 1891018024

DEREK LAWRENCE OWENS (CRNA) is a healthcare provider. based in Roanoke, Virginia. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 516784 (FL). The NPI Number for DEREK LAWRENCE OWENS (CRNA) is 1891018024

Main info

Male
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
DEREK LAWRENCE OWENS (CRNA)
NPI
1891018024
Phone
(540) 224-5715
Address
213 S JEFFERSON ST STE 1006
Enumeration Date
2 March 2010
Last Update Date
1 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8048288737
Graduation Year
2009 (17 years ago)
PAC ID
9739216060
Group Practice PAC ID
4385542117
Professional Enrollment ID
I20220915002887
Address ID
VA232191914RI401XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience92
Completeness75
Years active:16State licenses:6Digital endpointsOther names

2,456 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in CA

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Provider Addresses for DEREK LAWRENCE OWENS (CRNA)

  • 213 S JEFFERSON ST STE 1006

    ROANOKE, VA 240111713

    Phone: (540) 224-5715

    Type: Mailing

  • 5091 YACHT HARBOR CIR

    PENSACOLA, FL 325146757

    Phone: (850) 384-3901

    Type: Mailing

  • Colorado Avenue, Turlock, Stanislaus County, California, 95381, United States

    TURLOCK, CA 953822711

    Phone: (209) 216-3470

    Fax: (209) 216-3475

    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: 2022-09-15

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
I20101007000717ICertified Registered Nurse Anesthetist (Crna)CATBD
I20220915002887ICertified Registered Nurse Anesthetist (Crna)VATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 24011)

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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: 4385542117View full group profile
NameSpecialtyState
Internal MedicineVA
-VA
Nurse PractitionerVA
Orthopedic SurgeryVA
O T O L A R Y N G O L O G YVA
Diagnostic RadiologyVA
Nurse PractitionerVA
Qualified AudiologistVA
Radiation OncologyVA
O T O L A R Y N G O L O G YVA

Reviews

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Frequently asked questions

What is DEREK LAWRENCE OWENS (CRNA)'s NPI number?
DEREK LAWRENCE OWENS (CRNA)'s NPI is 1891018024 — the number used across U.S. healthcare to identify this provider.
Would DEREK LAWRENCE OWENS (CRNA) appear as active to a payer?
You can treat DEREK LAWRENCE OWENS (CRNA) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe DEREK LAWRENCE OWENS (CRNA)'s focus?
For DEREK LAWRENCE OWENS (CRNA), the primary taxonomy reads as Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where in Virginia is DEREK LAWRENCE OWENS (CRNA) registered?
Use Roanoke, Virginia as the headline location for DEREK LAWRENCE OWENS (CRNA) here.
When was this NPI issued?
Enumeration for DEREK LAWRENCE OWENS (CRNA) is noted as March 2, 2010 where the registry provides it.

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