GLEYNDON MIKEAL LOUIS KERN – Certified Registered Nurse Anesthetist, NPI 1063299642

GLEYNDON MIKEAL LOUIS KERN is a healthcare provider. based in Theodore, Alabama. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 1-140476 (AL). The NPI Number for GLEYNDON MIKEAL LOUIS KERN is 1063299642

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
GLEYNDON MIKEAL LOUIS KERN
NPI
1063299642
Phone
(251) 610-5521
Address
10495 KEARNS RD
Enumeration Date
8 September 2023
Last Update Date
8 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2514605220
Graduation Year
2023 (3 years ago)
PAC ID
8820443187
Group Practice PAC ID
2365830007
Professional Enrollment ID
I20231006002176
Address ID
AL366081753MO3719XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

1,625 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in AL

Provider Addresses for GLEYNDON MIKEAL LOUIS KERN

  • 10495 KEARNS RD

    THEODORE, AL 365827455

    Phone: (251) 610-5521

    Type: Mailing

  • 3719 DAUPHIN ST

    MOBILE, AL 366081753

    Phone: (251) 344-9630

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $122.

Total Amount is formed as General ($122) + Research ($0) + Ownership ($0) = $122.

Last reported payment date: 2024-01-18 • Largest payer in this snapshot: Heron Therapeutics, Inc. ($122).

Total Amount

$122

General + Research + Ownership

Payments

1

Total payment records

General Amount

$122

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-18

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Heron Therapeutics, Inc.$122
View all Open Payments →|Open Payments Risk Radar →

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: 2023-10-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231006002176ICertified Registered Nurse Anesthetist (Crna)ALTBD

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.

Verify on CMS Revalidation Lookup Tool

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 36582)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365830007View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YAL
A N E S T H E S I O L O G YAL
A N E S T H E S I O L O G YAL
Certified Registered Nurse Anesthetist (Crna)LA
Certified Registered Nurse Anesthetist (Crna)AL
A N E S T H E S I O L O G YFL
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)AL

Reviews

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Frequently asked questions

Does GLEYNDON MIKEAL LOUIS KERN have a public NPI I can cite?
Public records show GLEYNDON MIKEAL LOUIS KERN under NPI 1063299642.
Is GLEYNDON MIKEAL LOUIS KERN's NPI status active today?
Active status means GLEYNDON MIKEAL LOUIS KERN's NPI record is not deactivated in the public file.
What services align with GLEYNDON MIKEAL LOUIS KERN's listing?
GLEYNDON MIKEAL LOUIS KERN's public classification highlights Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to GLEYNDON MIKEAL LOUIS KERN?
GLEYNDON MIKEAL LOUIS KERN is associated with Theodore, Alabama in the same public data insurers reference.
Who maintains GLEYNDON MIKEAL LOUIS KERN's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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