MR. AUSTIN MARK MINER (CRNA) – Certified Registered Nurse Anesthetist, NPI 1134423361
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
987 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in WA
Provider Addresses for MR. AUSTIN MARK MINER (CRNA)
903 S ADAMS ST
RITZVILLE, WA 991692227
Phone: (509) 659-1200
Type: Location
17202 SW MARTY LN
BEAVERTON, OR 970064214
Phone: (801) 360-2822
Type: Mailing
1015 NW 22ND AVE
PORTLAND, OR 972103025
Phone: (503) 413-6008
Type: Location
1015 NW 22nd Ave
Portland, OR 972103025
Phone: (503) 413-6008
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $499.
Total Amount is formed as General ($499) + Research ($0) + Ownership ($0) = $499.
Last reported payment date: 2024-04-23 • Largest payer in this snapshot: Stryker Corporation ($385).
Total Amount
$499
General + Research + Ownership
Payments
3
Total payment records
General Amount
$499
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $385 |
| Boston Scientific Corporation | $114 |
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: 2024-05-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20140422001665 | I | Certified Registered Nurse Anesthetist (Crna) | WA | TBD |
| I20200205002493 | I | Certified Registered Nurse Anesthetist (Crna) | AZ | TBD |
| I20240528001131 | I | Certified Registered Nurse Anesthetist (Crna) | ID | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 99169)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WA | |
| Family Practice | WA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | WA | |
| Nurse Practitioner | WA | |
| Physician Assistant | WA | |
| - | WA | |
| Physician Assistant | WA |
Reviews
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