MICHAEL IKEDA-CHANDLER – Certified Registered Nurse Anesthetist, NPI 1063193274

MICHAEL IKEDA-CHANDLER is a healthcare provider. based in Everett, Washington. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 60717548 (WA). The NPI Number for MICHAEL IKEDA-CHANDLER is 1063193274

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL IKEDA-CHANDLER
NPI
1063193274
Phone
(662) 832-0276
Address
13000 ADMIRALTY WAY APT K202
Enumeration Date
31 July 2023
Last Update Date
17 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9144919495
Graduation Year
2023 (3 years ago)
PAC ID
8022543339
Group Practice PAC ID
9335298884
Professional Enrollment ID
I20241122004156
Address ID
WA982011665EV1321XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:2State licenses:2Digital endpointsOther names

987 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in WA

Provider Addresses for MICHAEL IKEDA-CHANDLER

  • 13000 ADMIRALTY WAY APT K202

    EVERETT, WA 982046274

    Phone: (662) 832-0276

    Type: Mailing

  • 1700 13TH ST

    EVERETT, WA 982011689

    Phone: (252) 612-0004

    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: 2024-11-22

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241122004156ICertified Registered Nurse Anesthetist (Crna)WATBD

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 98204)

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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: 9335298884View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)WA
-WA
Certified Registered Nurse Anesthetist (Crna)VT
A N E S T H E S I O L O G YWA
Certified Registered Nurse Anesthetist (Crna)WI
A N E S T H E S I O L O G YWA
A N E S T H E S I O L O G YWA
A N E S T H E S I O L O G YWA
A N E S T H E S I O L O G YWA
-MT

Reviews

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Frequently asked questions

Does MICHAEL IKEDA-CHANDLER share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MICHAEL IKEDA-CHANDLER uses 1063193274.
Is MICHAEL IKEDA-CHANDLER listed as active for patients and plans?
The listing shows MICHAEL IKEDA-CHANDLER as active in the NPI system.
What taxonomy line describes MICHAEL IKEDA-CHANDLER?
For research purposes, treat MICHAEL IKEDA-CHANDLER as Certified Registered Nurse Anesthetist in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect MICHAEL IKEDA-CHANDLER on a map?
Expect Everett, Washington as a primary anchor for MICHAEL IKEDA-CHANDLER unless the record lists multiple sites.
Is the information about MICHAEL IKEDA-CHANDLER up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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