KENNETH PAUL YEAGER (CRNA) – Certified Registered Nurse Anesthetist, NPI 1457353989

KENNETH PAUL YEAGER (CRNA) is a healthcare provider. based in Pensacola, Florida. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. ARNP2027442 (FL). The NPI Number for KENNETH PAUL YEAGER (CRNA) is 1457353989

Main info

Male
49 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH PAUL YEAGER (CRNA)
NPI
1457353989
Phone
(850) 477-7042
Address
4901 GRANDE DR
Enumeration Date
15 August 2005
Last Update Date
4 April 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3368467101
Graduation Year
1977 (49 years ago)
PAC ID
8123911559
Group Practice PAC ID
7416198049
Professional Enrollment ID
I20231024000489
Address ID
NC286409244JE200XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

310 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in NM

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Provider Addresses for KENNETH PAUL YEAGER (CRNA)

  • 4901, Grande Drive, Cordova Square, Pensacola, Escambia County, Florida, 32504, United States

    PENSACOLA, FL 325048965

    Phone: (850) 477-7042

    Fax: (850) 474-9060

    Type: Mailing

  • Plains Regional Medical Center, 2100, North Dr Martin Luther King Jr Boulevard, Clovis, Curry County, New Mexico, 88101, United States

    CLOVIS, NM 881019412

    Phone: (573) 686-5550

    Fax: (573) 686-2139

    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: 2023-10-24

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
I20040207000308ICertified Registered Nurse Anesthetist (Crna)FLTBD
I20231024000489ICertified Registered Nurse Anesthetist (Crna)NCTBD

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 endoscope4444$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope4141$0
00812Anesthesia for exam of colon using an endoscope3434$0
00813Anesthesia for procedure on small and large bowel using an endoscope3131$0
00410Anesthesia for procedure to correct abnormal heart rhythm1919$0
View full utilization report →

Insurance plans in this area (ZIP 32504)

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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: 7416198049View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)AZ
-NC
Certified Registered Nurse Anesthetist (Crna)MS
-TN
Certified Registered Nurse Anesthetist (Crna)WV
-GA
Certified Registered Nurse Anesthetist (Crna)SC
Certified Registered Nurse Anesthetist (Crna)TX
-NC
A N E S T H E S I O L O G YMI

Reviews

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Frequently asked questions

Can I verify KENNETH PAUL YEAGER (CRNA) with an NPI only?
You can start verification with NPI 1457353989 for KENNETH PAUL YEAGER (CRNA), then check state licensing separately.
Is KENNETH PAUL YEAGER (CRNA) listed as active for patients and plans?
The listing shows KENNETH PAUL YEAGER (CRNA) as active in the NPI system.
What is KENNETH PAUL YEAGER (CRNA) best known for clinically?
Directory data describes KENNETH PAUL YEAGER (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where is KENNETH PAUL YEAGER (CRNA) based?
KENNETH PAUL YEAGER (CRNA) is tied to Pensacola, Florida in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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