KENNETH L. HALLWOOD (CRNA) – Certified Registered Nurse Anesthetist, NPI 1427039718

KENNETH L. HALLWOOD (CRNA) is a healthcare provider. based in Mauston, Wisconsin. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 3626-33 (WI). The NPI Number for KENNETH L. HALLWOOD (CRNA) is 1427039718

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH L. HALLWOOD (CRNA)
NPI
1427039718
Phone
Not provided
Address
1050 DIVISION ST
Enumeration Date
14 November 2005
Last Update Date
8 November 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6086372101
Graduation Year
2003 (23 years ago)
PAC ID
9931004447
Group Practice PAC ID
8325958416
Professional Enrollment ID
I20031205000675
Address ID
WI546652059VI507XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,144 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in WI

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Provider Addresses for KENNETH L. HALLWOOD (CRNA)

  • Mile Bluff Medical Center, 1050, Division Street, Mauston, Town of Lindina, Juneau County, Wisconsin, 53948, United States

    MAUSTON, WI 539481931

    Phone:

    Mailing address matches the actual address.

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: 2003-12-05

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
I20031205000675ICertified Registered Nurse Anesthetist (Crna)WITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00811Anesthesia for other procedure on large bowel using an endoscope1919$0
00812Anesthesia for exam of colon using an endoscope1919$0
00142Anesthesia for lens surgery1414$0
View full utilization report →

Insurance plans in this area (ZIP 53948)

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Provider's Procedures

KENNETH L. HALLWOOD (CRNA) performs procedures in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETWI00142Anesthesia for lens surgery2322

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: 8325958416View full group profile
NameSpecialtyState
-WI
-WI
Physician AssistantWI
Diagnostic RadiologyWI
General SurgeryWI
-WI
Cardiovascular Disease (Cardiology), Internal Medicine, Interventional Cardiology, Cardiovascular Disease (Cardiology)NY
P A T H O L O G YMN
Nurse PractitionerWI
P A T H O L O G YNM

Reviews

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Frequently asked questions

Is KENNETH L. HALLWOOD (CRNA) listed with a National Provider Identifier?
Yes — KENNETH L. HALLWOOD (CRNA) has NPI 1427039718 on file in the registry.
Is there an active status for KENNETH L. HALLWOOD (CRNA)?
For scheduling context, KENNETH L. HALLWOOD (CRNA) is shown as active in the registry.
What clinical focus is listed for KENNETH L. HALLWOOD (CRNA)?
At a glance, KENNETH L. HALLWOOD (CRNA) is tied to Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is KENNETH L. HALLWOOD (CRNA) located near Mauston?
KENNETH L. HALLWOOD (CRNA) currently maps to Mauston, Wisconsin in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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