DAVID WILLIAM KROLL (CRNA) – Certified Registered Nurse Anesthetist, NPI 1013206762

DAVID WILLIAM KROLL (CRNA) is a healthcare provider. based in Superior, Wisconsin. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 083440 (MN). The NPI Number for DAVID WILLIAM KROLL (CRNA) is 1013206762

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
DAVID WILLIAM KROLL (CRNA)
NPI
1013206762
Phone
(925) 924-5000
Address
1012 N 19TH ST
Enumeration Date
4 April 2011
Last Update Date
16 May 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3206791212
Graduation Year
2011 (15 years ago)
PAC ID
8022295278
Group Practice PAC ID
6709295496
Professional Enrollment ID
I20110615000657
Address ID
MN550511899MO301XXSXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

2,131 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MN

Provider Addresses for DAVID WILLIAM KROLL (CRNA)

  • 1012 N 19TH ST

    SUPERIOR, WI 54880

    Phone: (925) 924-5000

    Type: Mailing

  • 6401 FRANCE AVE S

    EDINA, MN 55435

    Phone: (925) 924-5000

    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: 2011-06-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110615000657ICertified Registered Nurse Anesthetist (Crna)MNTBD

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.

Verify on CMS Revalidation Lookup Tool

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 54880)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709295496View full group profile
NameSpecialtyState
U R O L O G YOH
Hospitalist, Internal Medicine, Internal MedicineTN
Family PracticeFL
Family PracticeMN
General SurgeryND
Certified Registered Nurse Anesthetist (Crna)MN
Nurse PractitionerMN
Family PracticeMN
Nurse PractitionerMN
Certified Registered Nurse Anesthetist (Crna)MN

Reviews

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Frequently asked questions

Does DAVID WILLIAM KROLL (CRNA) have a public NPI I can cite?
Public records show DAVID WILLIAM KROLL (CRNA) under NPI 1013206762.
Is DAVID WILLIAM KROLL (CRNA)'s NPI status active today?
Active status means DAVID WILLIAM KROLL (CRNA)'s NPI record is not deactivated in the public file.
Which specialty label fits DAVID WILLIAM KROLL (CRNA)?
NPPES ties DAVID WILLIAM KROLL (CRNA) to Certified Registered Nurse Anesthetist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DAVID WILLIAM KROLL (CRNA)?
DAVID WILLIAM KROLL (CRNA) is associated with Superior, Wisconsin in the same public data insurers reference.
Why is information missing for DAVID WILLIAM KROLL (CRNA)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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