NAOMI SHESTOPAL CHILDRES (CRNA) – Certified Registered Nurse Anesthetist, NPI 1841279379
Certified Registered Nurse Anesthetist
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Profile Insights
NPPES metrics only — not quality of care.
987 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in WA
Provider Addresses for NAOMI SHESTOPAL CHILDRES (CRNA)
FITZSIMMONS DR
MADIGAN ARMY MEDICAL CENTER--BLDG 9040
TACOMA, WA 984310001
Phone: (253) 968-1975
Fax: (253) 968-3738
Type: Location
Fitzsimmons Dr
Madigan Army Medical Center--Bldg 9040
Tacoma, WA 984310001
Phone: (253) 968-1975
Fax: (253) 968-3738
Type: Location
209 Martin Luther King Jr Way
Tacoma, WA 984054265
Phone: (253) 596-3300
Fax: (253) 596-3301
Type: Location
6914, 77th Street Court East, Puyallup, Pierce County, Washington, 98371, United States
PUYALLUP, WA 983715595
Phone: (253) 904-8654
Type: Mailing
209 LILLY RD NE
OLYMPIA, WA 985065030
Phone: (360) 413-8250
Type: Location
209 MARTIN LUTHER KING JR WAY
TACOMA, WA 984054265
Phone: (253) 596-3300
Fax: (253) 596-3301
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: 2022-06-30
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 |
|---|---|---|---|---|
| I20220630002741 | I | Certified Registered Nurse Anesthetist (Crna) | WA | 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 98431)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| - | WA | |
| Family Practice | WA | |
| - | WA | |
| - | OH | |
| O P H T H A L M O L O G Y | WA | |
| Family Practice | WI | |
| Internal Medicine | OR | |
| Clinical Social Worker | WA | |
| - | WA |
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