ANESTHESIA CARE SERVICES, PA – Certified Registered Nurse Anesthetist, NPI 1609833474
Certified Registered Nurse Anesthetist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ANESTHESIA CARE SERVICES, PA
10500 Antenucci Blvd
Garfield Heighs, OH 44125
Phone: (440) 891-6500
Fax: (440) 891-1196
Type: Location
High Point Welcome Center of Western Nebraska, South Kimball Boulevard, Kimball, Kimball County, Nebraska, 69145, United States
HIGH POINT, NC 272616068
Phone: (888) 447-7220
Fax: (336) 884-1643
Type: Mailing
1834, Graves Mill Road, Forest, Bedford County, Virginia, 24502, United States
FOREST, VA 24551
Phone: (888) 447-7220
Fax: (336) 884-1643
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: 2016-06-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-11-30 (922 days ago).
Enrollment records
4
Earliest due date
2023-11-30
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 |
|---|---|---|---|---|
| O20051205000389 | O | Clinic/Group Practice | VA | 2025-08-31 |
| O20090813000373 | O | Clinic/Group Practice | NC | TBD |
| O20151103001846 | O | Clinic/Group Practice | GA | 2023-11-30 |
| O20160627002393 | O | Clinic/Group Practice | SC | 2024-02-29 |
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 44125)
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