THEODORE W BOGSRUD (CRNA) – Certified Registered Nurse Anesthetist, NPI 1215968961
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 THEODORE W BOGSRUD (CRNA)
16818 E DESMET CT
SPOKANE VALLEY, WA 992163542
Phone: (509) 456-5380
Fax: (509) 456-5381
Type: Location
6695, West Rio Grande Avenue, Tri-Cities, Benton County, Washington, 99336, United States
KENNEWICK, WA 993363301
Phone: (509) 736-0826
Fax: (509) 735-6868
Type: Location
2517, Northeast Kresky Avenue, Chehalis, Lewis County, Washington, 98532, United States
CHEHALIS, WA 985322409
Phone: (360) 242-3008
Fax: (360) 807-7687
Type: Mailing
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: 2010-01-25
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 |
|---|---|---|---|---|
| I20040504001480 | I | Certified Registered Nurse Anesthetist (Crna) | WA | TBD |
| I20050330000640 | I | Certified Registered Nurse Anesthetist (Crna) | MT | TBD |
| I20100125000381 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00142 | Anesthesia for lens surgery | 867 | 600 | $0 |
Insurance plans in this area (ZIP 99216)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | WA | |
| - | WA | |
| O P H T H A L M O L O G Y | WA | |
| O P H T H A L M O L O G Y | WA | |
| O P T O M E T R Y | WA | |
| O P T O M E T R Y | WA | |
| O P T O M E T R Y | WA | |
| O P T O M E T R Y | OR | |
| O P H T H A L M O L O G Y | WA | |
| O P H T H A L M O L O G Y | WA |
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