BROCK J AMOS (CRNA) – Certified Registered Nurse Anesthetist, NPI 1295807717
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
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Provider Addresses for BROCK J AMOS (CRNA)
PeaceHealth, 1115, Southeast 164th Avenue, Vancouver, Clark County, Washington, 98683, United States
DEPT. 358
VANCOUVER, WA 986839324
Phone: (360) 729-1462
Fax: (360) 729-3104
Type: Mailing
PeaceHealth St. John Medical Center, 1615, Delaware Street, Longview, Cowlitz County, Washington, 98632, United States
LONGVIEW, WA 986322367
Phone: (360) 414-2000
Fax: (360) 414-7638
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 $86.
Total Amount is formed as General ($86) + Research ($0) + Ownership ($0) = $86.
Last reported payment date: 2024-11-15 • Largest payer in this snapshot: Boston Scientific Corporation ($69).
Total Amount
$86
General + Research + Ownership
Payments
3
Total payment records
General Amount
$86
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $69 |
| Merck Sharp & Dohme LLC | $17 |
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: 2011-08-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110811000044 | I | Certified Registered Nurse Anesthetist (Crna) | NY | 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 |
|---|---|---|---|---|
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 29 | 28 | $0 |
| 00812 | Anesthesia for exam of colon using an endoscope | 22 | 22 | $0 |
| 00813 | Anesthesia for procedure on small and large bowel using an endoscope | 11 | 11 | $0 |
Insurance plans in this area (ZIP 98683)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NY | |
| - | NY | |
| - | NY | |
| Nurse Practitioner | NY | |
| Certified Registered Nurse Anesthetist (Crna) | PA | |
| Nurse Practitioner | NY | |
| Family Practice | NY | |
| - | NY | |
| General Surgery | MT | |
| - | NY |
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