MR. GLEN ROLAND HORNE (CRNA) – Certified Registered Nurse Anesthetist, NPI 1013088194

MR. GLEN ROLAND HORNE (CRNA) is a healthcare provider. based in Destin, Florida. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 110691 (NC). The NPI Number for MR. GLEN ROLAND HORNE (CRNA) is 1013088194

Main info

Male
56 Years Of Experience
Accepts Medicare Assignment
Name
MR. GLEN ROLAND HORNE (CRNA)
NPI
1013088194
Phone
(404) 310-6048
Address
5 CALHOUN AVE
Enumeration Date
13 November 2006
Last Update Date
4 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4236988692
Graduation Year
1970 (56 years ago)
PAC ID
0648203638
Group Practice PAC ID
8022919570
Professional Enrollment ID
I20250103002494
Address ID
TN374041161CH2525XAVEX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

5,359 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in FL

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Provider Addresses for MR. GLEN ROLAND HORNE (CRNA)

  • 5, Calhoun Avenue, Destin, Okaloosa County, Florida, 32541, United States

    UNIT 606

    DESTIN, FL 325415509

    Phone: (404) 310-6048

    Fax: (404) 255-1831

    Type: Location

  • 5 Calhoun Ave

    Unit 606

    Destin, FL 325415509

    Phone: (404) 310-6048

    Fax: (404) 255-1831

    Type: Location

  • 2525 DESALES AVE

    CHATTANOOGA, TN 374041161

    Phone: (423) 206-5040

    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: 2025-01-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20240610001145ICertified Registered Nurse Anesthetist (Crna)WVTBD
I20250103002494ICertified Registered Nurse Anesthetist (Crna)TNTBD

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
00811Anesthesia for other procedure on large bowel using an endoscope7979$0
00813Anesthesia for procedure on small and large bowel using an endoscope2525$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2423$0
00812Anesthesia for exam of colon using an endoscope2222$0
View full utilization report →

Insurance plans in this area (ZIP 32541)

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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: 8022919570View full group profile
NameSpecialtyState
Nurse PractitionerTN
-KY
Radiation OncologyWV
Internal MedicineTN
Internal MedicineTN
-TN
-TN
Nurse PractitionerTN
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)TN

Reviews

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Frequently asked questions

Where can patients find MR. GLEN ROLAND HORNE (CRNA)'s NPI?
You can confirm MR. GLEN ROLAND HORNE (CRNA) with NPI 1013088194; it appears in the national provider directory.
Is MR. GLEN ROLAND HORNE (CRNA)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is MR. GLEN ROLAND HORNE (CRNA)?
The page reflects Certified Registered Nurse Anesthetist for MR. GLEN ROLAND HORNE (CRNA). Clinical services aligned with this taxonomy classification.
Where is MR. GLEN ROLAND HORNE (CRNA)'s primary listing?
We display Destin, Florida because that is what the record indicates for MR. GLEN ROLAND HORNE (CRNA).
How can I contact MR. GLEN ROLAND HORNE (CRNA)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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