DR. JESSICA HAILEY STATZ (DO) – Anesthesiology Physician, NPI 1215083993
Anesthesiology Physician
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NPPES metrics only — not quality of care.
1,169 ANESTHESIOLOGY in CO
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Provider Addresses for DR. JESSICA HAILEY STATZ (DO)
Aurora Health Center, 6901, West Edgerton Avenue, Greenfield, Milwaukee County, Wisconsin, 53220, United States
GREENFIELD, WI 532204420
Phone: (414) 423-5174
Type: Mailing
1100, Balsam Avenue, Washington Village, Boulder, Boulder County, Colorado, 80304, United States
BOULDER, CO 803043404
Phone: (303) 415-7000
Type: Location
601 W MAPLE AVE STE 503
SPRINGDALE, AR 727645376
Phone: (479) 751-3722
Fax: (479) 751-1099
Type: Mailing
6901 W Edgerton Ave
Greenfield, WI 532204420
Phone: (414) 423-5174
Type: Location
1100 Balsam Ave
Boulder, CO 803043404
Phone: (303) 415-7000
Type: Location
10350 E Dakota Ave
Denver, CO 802471314
Phone: (303) 338-4545
Type: Location
609 W MAPLE AVE
SPRINGDALE, AR 727645335
Phone: (479) 751-3722
Fax: (479) 751-1099
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: 2020-12-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20070828000471 | I | Anesthesiology | CO | TBD |
| I20111122000521 | I | Anesthesiology | OK | TBD |
| I20201208002867 | I | Anesthesiology | AR | 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 |
|---|---|---|---|---|
| 64640 | Destruction of peripheral nerve or branch | 14 | 14 | $0 |
Insurance plans in this area (ZIP 53220)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | OK | |
| Certified Registered Nurse Anesthetist (Crna) | OK | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| A N E S T H E S I O L O G Y | OK | |
| Certified Registered Nurse Anesthetist (Crna) | OK | |
| Certified Registered Nurse Anesthetist (Crna) | LA | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| A N E S T H E S I O L O G Y | GA | |
| Certified Registered Nurse Anesthetist (Crna) | OK | |
| A N E S T H E S I O L O G Y | OK |
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