ELITE ANESTHESIA ASSOCIATES – Certified Registered Nurse Anesthetist, NPI 1922627975
Certified Registered Nurse Anesthetist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ELITE ANESTHESIA ASSOCIATES
7090 S UNION PARK AVE STE 300
MIDVALE, UT 840476041
Phone: (801) 836-4323
Type: Mailing
175 N 400 W STE C10
OREM, UT 840571909
Phone: (801) 224-6767
Type: Location
7138 S HIGHLAND DR STE 109
SALT LAKE CITY, UT 841213776
Phone:
Type: Mailing
143 W 50 S
FARMINGTON, UT 840252189
Phone: (804) 335-7421
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: 2023-10-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Revalidation scheduled
Earliest CMS due date is 2026-10-31 (145 days away).
Enrollment records
3
Earliest due date
2026-10-31
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 |
|---|---|---|---|---|
| O20210114001879 | O | Clinic/Group Practice | UT | 2026-10-31 |
| O20230223002297 | O | Clinic/Group Practice | NV | TBD |
| O20231004004203 | O | Clinic/Group Practice | CO | TBD |
What to do next
- Monitor the published due date as it approaches.
- Plan to revalidate in PECOS within the window CMS allows before the due date.
- Verify the date on the CMS Revalidation Lookup Tool before submitting.
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 84047)
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