DARREN DALE JEFFERIES (CRNA) – Registered Nurse, NPI 1649349945
Registered Nurse
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
710 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IN
Provider Addresses for DARREN DALE JEFFERIES (CRNA)
Bellin Hospital Green Bay, 744, South Webster Avenue, Astor, Green Bay, Brown County, Wisconsin, 54305, United States
GREEN BAY, WI 543013505
Phone: (888) 280-9533
Fax: (919) 873-9821
Type: Mailing
250 N SHADELAND AVE
INDIANAPOLIS, IN 462194959
Phone:
Type: Mailing
1701 N SENATE BLVD
INDIANAPOLIS, IN 462021239
Phone: (317) 577-4200
Fax: (317) 577-9503
Type: Location
5165 McCarty Ln
Lafayette, IN 479058764
Phone: (765) 448-8000
Fax: (765) 446-4695
Type: Location
1001 Sam Perry Blvd
Fredericksburg, VA 224014453
Phone: (540) 741-7614
Type: Location
744 S Webster Ave
Green Bay, WI 543013505
Phone: (920) 433-3605
Fax: (920) 433-3589
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: 2025-08-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20060403000435 | I | Certified Registered Nurse Anesthetist (Crna) | NY | TBD |
| I20110303000568 | I | Certified Registered Nurse Anesthetist (Crna) | VA | TBD |
| I20221019002199 | I | Certified Registered Nurse Anesthetist (Crna) | IN | TBD |
| I20250804002025 | I | Certified Registered Nurse Anesthetist (Crna) | FL | 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 54301)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| - | FL | |
| A N E S T H E S I O L O G Y | FL | |
| - | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| - | FL | |
| A N E S T H E S I O L O G Y | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| - | FL |
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