TIMOTHY P VAUGHN (CRNA, APNP) – Certified Registered Nurse Anesthetist, NPI 1871576009
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for TIMOTHY P VAUGHN (CRNA, APNP)
285 BERRY LN # 59
WISCONSIN DELLS, WI 539658386
Phone: (608) 469-4672
Type: Mailing
2661 County Highway I
Chippewa Falls, WI 547295407
Phone: (715) 723-1811
Type: Location
Burnett General Hospital, 257, West Saint George Avenue, Grantsburg, Burnett County, Wisconsin, 54840, United States
GRANTSBURG, WI 548407827
Phone: (715) 463-5353
Type: Location
1436 CLEARWATER RIDGE CT
EAU CLAIRE, WI 547033794
Phone: (608) 469-4672
Type: Mailing
900 W CLAIREMONT AVE
EAU CLAIRE, WI 547016122
Phone: (715) 717-4121
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $94.
Total Amount is formed as General ($94) + Research ($0) + Ownership ($0) = $94.
Last reported payment date: 2023-01-23 • Largest payer in this snapshot: Chiesi USA, Inc. ($94).
Total Amount
$94
General + Research + Ownership
Payments
1
Total payment records
General Amount
$94
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-01-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Chiesi USA, Inc. | $94 |
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: 2004-04-28
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040428000883 | 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 |
|---|---|---|---|---|
| 00142 | Anesthesia for lens surgery | 29 | 28 | $0 |
| 00910 | Anesthesia for other procedure on urinary system through urethra | 12 | 12 | $0 |
Insurance plans in this area (ZIP 53965)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| - | MN | |
| Certified Registered Nurse Anesthetist (Crna) | ID | |
| Certified Registered Nurse Anesthetist (Crna) | CO |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.