JEROMY EUGENE TEAGUE (CRNA) – Certified Registered Nurse Anesthetist, NPI 1275852378

JEROMY EUGENE TEAGUE (CRNA) is a healthcare provider. based in Conway, Arkansas. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. CTP-000137 (AR). The NPI Number for JEROMY EUGENE TEAGUE (CRNA) is 1275852378

Main info

Male
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
JEROMY EUGENE TEAGUE (CRNA)
NPI
1275852378
Phone
(501) 908-5249
Address
1630 JASMINE LN
Enumeration Date
28 May 2010
Last Update Date
28 May 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4794415005
Graduation Year
2010 (16 years ago)
PAC ID
3779779145
Group Practice PAC ID
7911802079
Professional Enrollment ID
I20101124000439
Address ID
AR729014921FO1001XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

716 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in AR

Provider Addresses for JEROMY EUGENE TEAGUE (CRNA)

  • 1630 JASMINE LN

    CONWAY, AR 720348446

    Phone: (501) 908-5249

    Type: Mailing

  • 4 HOSPITAL DR

    MORRILTON, AR 721104510

    Phone: (501) 977-2300

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $30.

Total Amount is formed as General ($30) + Research ($0) + Ownership ($0) = $30.

Last reported payment date: 2023-05-11 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($17).

Total Amount

$30

General + Research + Ownership

Payments

2

Total payment records

General Amount

$30

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-11

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2010-11-24

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
I20101124000439ICertified 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2423$0
00811Anesthesia for other procedure on large bowel using an endoscope2222$0
00902Anesthesia for procedure on anus and rectum1717$0
00910Anesthesia for other procedure on urinary system through urethra1717$0
00813Anesthesia for procedure on small and large bowel using an endoscope1515$0
View full utilization report →

Insurance plans in this area (ZIP 72034)

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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: 7911802079View full group profile
NameSpecialtyState
-AR
-AR
-AR
Diagnostic Radiology, Interventional RadiologyAR
-AR
-AR
-AR
Certified Registered Nurse Anesthetist (Crna)AR
Certified Registered Nurse Anesthetist (Crna)AR
Certified Registered Nurse Anesthetist (Crna)AR

Reviews

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Frequently asked questions

What NPI should I save for JEROMY EUGENE TEAGUE (CRNA)?
Save NPI 1275852378 if you need a stable reference for JEROMY EUGENE TEAGUE (CRNA).
Is JEROMY EUGENE TEAGUE (CRNA) currently active in the NPI registry?
CMS-published data lists JEROMY EUGENE TEAGUE (CRNA) as an active registrant.
What kind of provider is JEROMY EUGENE TEAGUE (CRNA)?
The page reflects Certified Registered Nurse Anesthetist for JEROMY EUGENE TEAGUE (CRNA). Clinical services aligned with this taxonomy classification.
Where does public data place JEROMY EUGENE TEAGUE (CRNA)?
The snapshot lists Conway, Arkansas for JEROMY EUGENE TEAGUE (CRNA); download NPPES for the complete set.
How can I contact JEROMY EUGENE TEAGUE (CRNA)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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