KATELYN E LONGACRE (CRNA) – Certified Registered Nurse Anesthetist, NPI 1194161158

KATELYN E LONGACRE (CRNA) is a healthcare provider. based in Clearwater, Florida. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. RN9292268 (FL). The NPI Number for KATELYN E LONGACRE (CRNA) is 1194161158

Main info

Female
13 Years Of Experience
Name
KATELYN E LONGACRE (CRNA)
NPI
1194161158
Phone
(727) 573-7777
Address
1901 ULMERTON RD
Enumeration Date
17 May 2013
Last Update Date
8 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7704248222
Graduation Year
2013 (13 years ago)
PAC ID
1456593300
Group Practice PAC ID
6709065402
Professional Enrollment ID
I20220629001587
Address ID
GA301527742KE5150XRDXX501

Contacts

Secure Messaging
klongacre504126@directwellstar.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:13State licenses:2Other namesUpdated within 12 months

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

Provider Addresses for KATELYN E LONGACRE (CRNA)

  • 1901 ULMERTON RD

    SUITE 450

    CLEARWATER, FL 337622300

    Phone: (727) 573-7777

    Fax: (727) 573-7710

    Type: Mailing

  • 3100 E FLETCHER AVE

    TAMPA, FL 336134613

    Phone: (813) 615-7294

    Type: Location

  • 1300 RIDENOUR BLVD NW STE 300

    KENNESAW, GA 301524402

    Phone: (770) 702-1806

    Fax: (770) 693-0810

    Type: Mailing

  • 3100 E Fletcher Ave

    Tampa, FL 336134613

    Phone: (813) 615-7294

    Type: Location

  • 758 Old Norcross Rd Ste 125

    Lawrenceville, GA 300463387

    Phone: (678) 987-0820

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $58.

Total Amount is formed as General ($58) + Research ($0) + Ownership ($0) = $58.

Last reported payment date: 2024-10-22 • Largest payer in this snapshot: Boston Scientific Corporation ($40).

Total Amount

$58

General + Research + Ownership

Payments

3

Total payment records

General Amount

$58

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-22

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: 2022-06-29

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
I20220629001587ICertified Registered Nurse Anesthetist (Crna)GATBD

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
00142Anesthesia for lens surgery5854$0
00811Anesthesia for other procedure on large bowel using an endoscope2020$0
View full utilization report →

Insurance plans in this area (ZIP 33762)

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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: 6709065402View full group profile
NameSpecialtyState
-GA
-GA
-GA
R H E U M A T O L O G YMI
Hospitalist, Internal MedicineGA
Nurse PractitionerTN
Family PracticeGA
Physician AssistantGA
Physician AssistantGA
Hospitalist, Internal MedicineGA

Reviews

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Frequently asked questions

What is the registry number for KATELYN E LONGACRE (CRNA)?
The registry entry for KATELYN E LONGACRE (CRNA) shows NPI 1194161158.
Does the public listing show KATELYN E LONGACRE (CRNA) as active?
KATELYN E LONGACRE (CRNA)'s NPI record reflects an active status in NPPES.
What does the directory say KATELYN E LONGACRE (CRNA) does?
Insurance directories may phrase it differently, but here KATELYN E LONGACRE (CRNA) maps to Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is KATELYN E LONGACRE (CRNA) tied to Clearwater, Florida?
If you are local to Clearwater, Florida, KATELYN E LONGACRE (CRNA) may be relevant to your search.
Can I export KATELYN E LONGACRE (CRNA)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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