KATHY HARTZOG (CRNA) – Certified Registered Nurse Anesthetist, NPI 1699739581

KATHY HARTZOG (CRNA) is a healthcare provider. based in Montgomery, Alabama. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 1-030917 (AL). The NPI Number for KATHY HARTZOG (CRNA) is 1699739581

Main info

Female
43 Years Of Experience
Accepts Medicare Assignment
Name
KATHY HARTZOG (CRNA)
NPI
1699739581
Phone
(334) 279-1450
Address
PO BOX 235019
Enumeration Date
17 April 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3347493411
Graduation Year
1983 (43 years ago)
PAC ID
9335336379
Group Practice PAC ID
5395768451
Professional Enrollment ID
I20101203000197
Address ID
AL368015452OP2000XPKWY300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,626 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in AL

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Provider Addresses for KATHY HARTZOG (CRNA)

  • Box Turtle, Grogan's Mill, The Woodlands, Montgomery County, Texas, United States

    MONTGOMERY, AL 361235019

    Phone: (334) 279-1450

    Fax: (334) 279-1660

    Type: Mailing

  • 2000, Pepperell Parkway, Five Points, Opelika, Lee County, Alabama, 36801, United States

    OPELIKA, AL 368015452

    Phone: (334) 528-2499

    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: 2010-12-03

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
I20101203000197ICertified 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 36123)

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Provider's Procedures

KATHY HARTZOG (CRNA) performs procedures in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETAL00142Anesthesia for lens surgery1414

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: 5395768451View full group profile
NameSpecialtyState
Anesthesiology AssistantAL
Certified Registered Nurse Anesthetist (Crna)FL
Anesthesiology AssistantAL
Anesthesiology AssistantAL
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)AL
A N E S T H E S I O L O G YGA

Reviews

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Frequently asked questions

Can I cross-check KATHY HARTZOG (CRNA) using NPI 1699739581?
NPI 1699739581 belongs to KATHY HARTZOG (CRNA); compare other details if you need extra assurance.
Is KATHY HARTZOG (CRNA) shown as active in public data?
Registry records indicate KATHY HARTZOG (CRNA) maintains an active NPI.
What area of care is associated with KATHY HARTZOG (CRNA)?
KATHY HARTZOG (CRNA)'s record emphasizes Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What locale is associated with KATHY HARTZOG (CRNA)?
Directory geography for KATHY HARTZOG (CRNA) centers on Montgomery, Alabama.
When was this NPI issued?
Enumeration for KATHY HARTZOG (CRNA) is noted as April 17, 2006 where the registry provides it.

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Unknown Individual

Certified Registered Nurse Anesthetist
Box Turtle, Grogan's Mill, The Woodlands, Montgomery County, Texas, United States
NPI: 1336129337