KIMBERLY L ANDERSON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1053549873
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,141 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in WI
Provider Addresses for KIMBERLY L ANDERSON (CRNA)
1000 N OAK AVE
MARSHFIELD, WI 544495703
Phone: (715) 387-5511
Type: Mailing
91, I 74, Peoria, Peoria County, Illinois, 61636, United States
SUITE 250
PEORIA, IL 616159541
Phone: (309) 692-5394
Fax: (309) 692-2538
Type: Mailing
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: 2022-07-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20090817000130 | I | Certified Registered Nurse Anesthetist (Crna) | IL | TBD |
| I20220711003221 | I | Certified Registered Nurse Anesthetist (Crna) | WI | 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 |
|---|---|---|---|---|
| 00812 | Anesthesia for exam of colon using an endoscope | 19 | 19 | $0 |
Insurance plans in this area (ZIP 54449)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | WI | |
| G A S T R O E N T E R O L O G Y | WI | |
| P A T H O L O G Y | WI | |
| Certified Registered Nurse Anesthetist (Crna) | WI | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Certified Registered Nurse Anesthetist (Crna) | WI | |
| G A S T R O E N T E R O L O G Y | WI | |
| G A S T R O E N T E R O L O G Y | WI | |
| Gastroenterology, Internal Medicine, Geriatric Medicine | WI | |
| Nurse Practitioner | WI |
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