MARY HOLT (CRNA) – Registered Nurse, NPI 1689137259
Registered Nurse
Main info
Profile Insights
NPPES metrics only — not quality of care.
Loading map...
Provider Addresses for MARY HOLT (CRNA)
9663, Southeast Plover Drive, Happy Valley, Metro, Clackamas County, Oregon, 97086, United States
HAPPY VALLEY, OR 970865665
Phone: (503) 752-4049
Type: Mailing
Providence Sacred Heart Medical Center and Children's Hospital, 101, West 8th Avenue, Spokane, Spokane County, Washington, 99204, United States
SPOKANE, WA 992042307
Phone: (509) 474-3131
Type: Location
800 W 5TH AVE
SPOKANE, WA 992042803
Phone: (509) 458-5800
Type: Location
2617 S POST ST
SPOKANE, WA 992031843
Phone: (503) 752-4049
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2022-10-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20220622003212 | I | Certified Registered Nurse Anesthetist (Crna) | WA | TBD |
| I20221006003263 | I | Certified Registered Nurse Anesthetist (Crna) | OR | 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 97086)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.