KRYSTAL ALLENE FERGUSON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1194201525

KRYSTAL ALLENE FERGUSON (CRNA) is a healthcare provider. based in Monticello, Arkansas. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 2019011936 (MO). The NPI Number for KRYSTAL ALLENE FERGUSON (CRNA) is 1194201525

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
KRYSTAL ALLENE FERGUSON (CRNA)
NPI
1194201525
Phone
(573) 334-4822
Address
PO BOX 1427
Enumeration Date
18 July 2018
Last Update Date
3 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8705417100
Graduation Year
2018 (8 years ago)
PAC ID
0244589224
Group Practice PAC ID
6204171846
Professional Enrollment ID
I20230817003804
Address ID
AR716036301PI1600XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:7State licenses:4Digital endpointsOther names

1,775 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MO

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Provider Addresses for KRYSTAL ALLENE FERGUSON (CRNA)

  • PO BOX 1427

    MONTICELLO, AR 716571427

    Phone: (573) 334-4822

    Type: Mailing

  • 7050 INDEPENDENCE RD

    MILLINGTON, TN 380536116

    Phone: (870) 866-5092

    Type: Mailing

  • Southeast Hospital, 1701, Lacey Street, Cape Girardeau, Cape Girardeau County, Missouri, 63701, United States

    CAPE GIRARDEAU, MO 63701

    Phone: (870) 866-5092

    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: 2023-08-17

PECOS data refreshed: 2026-06-15

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
I20230817003804ICertified Registered Nurse Anesthetist (Crna)ARTBD

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 71657)

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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: 6204171846View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)AR
Certified Registered Nurse Anesthetist (Crna)AR
Certified Registered Nurse Anesthetist (Crna)AR
Certified Registered Nurse Anesthetist (Crna)AR
Certified Registered Nurse Anesthetist (Crna)AR
Certified Registered Nurse Anesthetist (Crna)AR
Certified Registered Nurse Anesthetist (Crna)AR
Certified Registered Nurse Anesthetist (Crna)AR
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)AR

Reviews

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Frequently asked questions

Is KRYSTAL ALLENE FERGUSON (CRNA) listed with a National Provider Identifier?
Yes — KRYSTAL ALLENE FERGUSON (CRNA) has NPI 1194201525 on file in the registry.
Would KRYSTAL ALLENE FERGUSON (CRNA) appear as active to a payer?
You can treat KRYSTAL ALLENE FERGUSON (CRNA) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with KRYSTAL ALLENE FERGUSON (CRNA)?
KRYSTAL ALLENE FERGUSON (CRNA)'s record emphasizes Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where in Arkansas is KRYSTAL ALLENE FERGUSON (CRNA) registered?
Use Monticello, Arkansas as the headline location for KRYSTAL ALLENE FERGUSON (CRNA) here.
Can I trust this NPI listing for KRYSTAL ALLENE FERGUSON (CRNA)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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