GREENSBORO ANESTHESIA SPECIALISTS INC – Certified Registered Nurse Anesthetist, NPI 1073772612
Certified Registered Nurse Anesthetist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for GREENSBORO ANESTHESIA SPECIALISTS INC
520 N Elam Ave
Greensboro, NC 274031127
Phone: (888) 209-0305
Fax: (952) 442-3620
Type: Location
1714 E HUNDRED RD STE 104
CHESTER, VA 238363310
Phone: (888) 209-0305
Fax: (952) 442-3620
Type: Location
10th Street, Somerwood Cottages, Waconia, Carver County, Minnesota, 55387, United States
WACONIA, MN 553874552
Phone: (888) 209-0305
Fax: (952) 442-3620
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: 2010-12-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-10-31 (586 days ago).
Enrollment records
2
Earliest due date
2024-10-31
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 |
|---|---|---|---|---|
| O20100106000273 | O | Clinic/Group Practice | VA | 2025-09-30 |
| O20101216000809 | O | Clinic/Group Practice | NC | 2024-10-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 27403)
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