MR. RUSSELL ALAN HAUGE (CRNA) – Certified Registered Nurse Anesthetist, NPI 1619939501
Certified Registered Nurse Anesthetist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MR. RUSSELL ALAN HAUGE (CRNA)
4864 Crown Ln
Woodbury, MN 551298900
Phone: (651) 459-8513
Type: Location
350 W Thomas Rd
Phoenix, AZ 850134409
Phone: (602) 406-3000
Type: Location
4864, Crown Lane, Woodbury Estates, Woodbury, Washington County, Minnesota, 55129, United States
WOODBURY, MN 551298900
Phone: (651) 459-8513
Type: Mailing
600 EAST BLVD
ELKHART, IN 465142483
Phone: (574) 524-8130
Fax: (574) 524-8138
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: 2025-03-31
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20040124000264 | I | Certified Registered Nurse Anesthetist (Crna) | WI | TBD |
| I20250218000611 | I | Certified Registered Nurse Anesthetist (Crna) | TN | TBD |
| I20250331002602 | I | Certified Registered Nurse Anesthetist (Crna) | NV | 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 55129)
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