MISS ANNE MERCITA MITZAK (CRNA) – Certified Registered Nurse Anesthetist, NPI 1992785604
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 MISS ANNE MERCITA MITZAK (CRNA)
Mamc
BLDG 9040 Fitzsimmons Drive
Tacoma, WA 984310001
Phone: (253) 968-1975
Fax: (253) 968-3738
Type: Location
MAMC
BLDG 9040 FITZSIMMONS DRIVE
TACOMA, WA 984310001
Phone: (253) 968-1975
Fax: (253) 968-3738
Type: Location
4710, 39th Avenue Southeast, Lacey, Thurston County, Washington, 98503, United States
LACEY, WA 985038225
Phone: (360) 923-9555
Type: Mailing
2330 SANDIA DR
PRESCOTT, AZ 863015342
Phone: (845) 532-9407
Type: Mailing
13400 E SHEA BLVD
SCOTTSDALE, AZ 852595499
Phone: (480) 301-8000
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: 2025-06-27
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 |
|---|---|---|---|---|
| I20250627002337 | I | Certified Registered Nurse Anesthetist (Crna) | AZ | 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 |
|---|---|---|
| Critical Care (Intensivists) | PA | |
| - | AZ | |
| Certified Registered Nurse Anesthetist (Crna) | AZ | |
| - | AZ | |
| - | CO | |
| - | AZ | |
| Physician Assistant | AZ | |
| - | FL | |
| Nephrology, Internal Medicine | AZ | |
| - | AZ |
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