ERIC A ELSEMORE (CRNA) – Certified Registered Nurse Anesthetist, NPI 1184695140

ERIC A ELSEMORE (CRNA) is a healthcare provider. based in North bend, Washington. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. RN0117713 (WA). The NPI Number for ERIC A ELSEMORE (CRNA) is 1184695140

Main info

Male
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
ERIC A ELSEMORE (CRNA)
NPI
1184695140
Phone
(425) 281-7249
Address
PO BOX 471
Enumeration Date
30 January 2006
Last Update Date
23 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4252817249
Graduation Year
2000 (26 years ago)
PAC ID
1456242080
Professional Enrollment ID
I20040323001204
Address ID
WA980048002BE3025XNEXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

987 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in WA

Provider Addresses for ERIC A ELSEMORE (CRNA)

  • PO BOX 471

    NORTH BEND, WA 980450471

    Phone: (425) 281-7249

    Type: Mailing

  • 9040 Jackson Ave

    Tacoma, WA 984310001

    Phone: (253) 968-2235

    Type: Location

  • PO BOX 1506

    CHEHALIS, WA 985320409

    Phone: (360) 242-3010

    Type: Mailing

  • 2517 NE KRESKY AVE

    CHEHALIS, WA 985322409

    Phone: (360) 748-8632

    Fax: (360) 748-3869

    Type: Location

  • Madigan Army Medical Center, 9040, Jackson Avenue, Tacoma, Pierce County, Washington, 98431, United States

    TACOMA, WA 984310001

    Phone: (253) 968-2235

    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: 2004-03-23

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
I20040323001204ICertified 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00142Anesthesia for lens surgery913763$0
00103Anesthesia for procedure on eyelid4141$0
View full utilization report →

Insurance plans in this area (ZIP 98045)

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Reviews

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Frequently asked questions

Can I verify ERIC A ELSEMORE (CRNA) with an NPI only?
You can start verification with NPI 1184695140 for ERIC A ELSEMORE (CRNA), then check state licensing separately.
Can I rely on ERIC A ELSEMORE (CRNA) being an active provider?
As of the registry snapshot, ERIC A ELSEMORE (CRNA) is marked active.
What is ERIC A ELSEMORE (CRNA)'s primary classification?
Certified Registered Nurse Anesthetist is the headline specialty for ERIC A ELSEMORE (CRNA) here. Clinical services aligned with this taxonomy classification.
Does ERIC A ELSEMORE (CRNA) list a practice location?
Patients near North Bend, Washington may find ERIC A ELSEMORE (CRNA) in results; validate coverage separately.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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