MRS. CATHLEEN MARY DOLORES JANITSCHKE – Certified Registered Nurse Anesthetist, NPI 1487619904
Certified Registered Nurse Anesthetist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MRS. CATHLEEN MARY DOLORES JANITSCHKE
301 Becker Ave SW
Willmar, MN 562013302
Phone: (320) 235-4543
Type: Location
450 EASTVOLD AVE
ORTONVILLE, MN 562781133
Phone: (320) 839-2502
Fax: (320) 839-3851
Type: Mailing
301, Becker Avenue Southwest, Willmar, Kandiyohi County, Minnesota, 56201, United States
WILLMAR, MN 562013302
Phone: (320) 235-4543
Type: Location
3208, Eagle Ridge Drive East, Willmar, Kandiyohi County, Minnesota, 56201, United States
WILLMAR, MN 562018734
Phone: (320) 214-8166
Type: Mailing
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: 2008-06-05
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080605000897 | I | Certified Registered Nurse Anesthetist (Crna) | MN | 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 56201)
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