CODY LAMAR OLIVERSON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1932753878
Certified Registered Nurse Anesthetist
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Profile Insights
NPPES metrics only — not quality of care.
402 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in ID
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Provider Addresses for CODY LAMAR OLIVERSON (CRNA)
PO BOX 94289, MS 631130
SEATTLE, WA 98124
Phone: (866) 487-0277
Fax: (770) 701-6674
Type: Mailing
Eastern Idaho Regional Medical Center, 3100, Channing Way, Idaho Falls, Bonneville County, Idaho, 83404, United States
IDAHO FALLS, ID 834047533
Phone: (208) 529-6111
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: 2022-05-17
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 |
|---|---|---|---|---|
| I20220517000588 | I | Certified Registered Nurse Anesthetist (Crna) | NV | 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 | 31 | 31 | $0 |
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 26 | 26 | $0 |
| 01810 | Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand | 13 | 12 | $0 |
Insurance plans in this area (ZIP 98124)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | NV | |
| Certified Registered Nurse Anesthetist (Crna) | NV | |
| Certified Registered Nurse Anesthetist (Crna) | NE | |
| Certified Registered Nurse Anesthetist (Crna) | CA | |
| - | UT | |
| Certified Registered Nurse Anesthetist (Crna) | AZ |
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