KELLIE LOGUE (CRNA) – Certified Registered Nurse Anesthetist, NPI 1275940496
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
801 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in CO
Provider Addresses for KELLIE LOGUE (CRNA)
214 S 4TH ST
KREMMLING, CO 804595065
Phone: (970) 887-5800
Type: Location
1068 Cresthaven Rd
Suite 150
Memphis, TN 381190800
Phone: (901) 682-2872
Fax: (901) 682-9316
Type: Location
1100 Carson Ave
LA Junta, CO 810502751
Phone: (719) 384-5412
Type: Location
1025 BELLEVIEW AVE
LA JUNTA, CO 810502718
Phone: (309) 202-1692
Type: Mailing
1100 CARSON AVE
LA JUNTA, CO 810502751
Phone: (719) 384-5412
Type: Location
PO BOX 399
KREMMLING, CO 804590399
Phone: (309) 202-1692
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: 2018-05-01
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180501000995 | I | Certified Registered Nurse Anesthetist (Crna) | CO | TBD |
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.
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 80459)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| G A S T R O E N T E R O L O G Y | CO | |
| Certified Registered Nurse Anesthetist (Crna) | MA | |
| Gastroenterology, Internal Medicine | CO | |
| G A S T R O E N T E R O L O G Y | CO | |
| G A S T R O E N T E R O L O G Y | CO | |
| - | CO | |
| G A S T R O E N T E R O L O G Y | NY | |
| G A S T R O E N T E R O L O G Y | CO | |
| Registered Dietitian Or Nutrition Professional | CO | |
| Nurse Practitioner | CO |
Reviews
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