CHARLES GRANT (CRNA) – Certified Registered Nurse Anesthetist, NPI 1194273540
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,265 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IL
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Provider Addresses for CHARLES GRANT (CRNA)
Elm Street, Atwood, Rawlins County, Kansas, United States
RAWLINS, WY 823015108
Phone: (307) 324-2221
Type: Mailing
Sarah Bush Lincoln Health Center, 1000, Health Center Drive, Mattoon, Coles County, Illinois, 61938, United States
MATTOON, IL 619389261
Phone: (217) 258-2525
Fax: (217) 258-4175
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: 2019-03-27
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 |
|---|---|---|---|---|
| I20190327000713 | I | Certified Registered Nurse Anesthetist (Crna) | WY | 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 82301)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| Diagnostic Radiology | ID | |
| Diagnostic Radiology, Interventional Radiology | ID | |
| Interventional Radiology | ID | |
| Diagnostic Radiology | WI | |
| Diagnostic Radiology | ID | |
| Certified Registered Nurse Anesthetist (Crna) | UT | |
| Emergency Medicine | MA | |
| Family Practice | WA | |
| Family Practice | WY |
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