JUSTIN R FENUS (JUSTIN FENUS) – Certified Registered Nurse Anesthetist, NPI 1912298530
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,060 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in AZ
Provider Addresses for JUSTIN R FENUS (JUSTIN FENUS)
190 SEMINOLE DR
EVANSTON, WY 829306600
Phone: (801) 367-4997
Type: Mailing
2735 SILVER CREEK RD
BULLHEAD CITY, AZ 864427924
Phone: (928) 763-2273
Type: Location
190 Seminole Dr
Evanston, WY 829306600
Phone: (801) 367-4997
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: 2025-03-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 6 Medicare enrollment records; no due dates published yet.
Enrollment records
6
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 |
|---|---|---|---|---|
| I20110720000342 | I | Certified Registered Nurse Anesthetist (Crna) | WY | TBD |
| I20140613001110 | I | Certified Registered Nurse Anesthetist (Crna) | NV | TBD |
| I20170623002296 | I | Certified Registered Nurse Anesthetist (Crna) | CO | TBD |
| I20240813002208 | I | Certified Registered Nurse Anesthetist (Crna) | UT | TBD |
| I20250206002634 | I | Certified Registered Nurse Anesthetist (Crna) | NM | TBD |
| I20250310001914 | I | Certified Registered Nurse Anesthetist (Crna) | AZ | 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 82930)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | AZ | |
| Certified Registered Nurse Anesthetist (Crna) | AZ | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Certified Registered Nurse Anesthetist (Crna) | AZ | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Certified Registered Nurse Anesthetist (Crna) | CO | |
| Certified Registered Nurse Anesthetist (Crna) | NC | |
| A N E S T H E S I O L O G Y | AZ | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Certified Registered Nurse Anesthetist (Crna) | LA |
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