KATHLEEN HURLBUT GANGL (CRNA) – Certified Registered Nurse Anesthetist, NPI 1649552977

KATHLEEN HURLBUT GANGL (CRNA) is a healthcare provider. based in Jonesboro, Georgia. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. RN176791 (GA). The NPI Number for KATHLEEN HURLBUT GANGL (CRNA) is 1649552977

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
KATHLEEN HURLBUT GANGL (CRNA)
NPI
1649552977
Phone
(770) 478-9877
Address
405 ARROWHEAD BLVD
Enumeration Date
13 September 2011
Last Update Date
12 February 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7709486824
Graduation Year
2011 (15 years ago)
PAC ID
2567623432
Group Practice PAC ID
6406035583
Professional Enrollment ID
I20120420000049
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

1,710 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in GA

Provider Addresses for KATHLEEN HURLBUT GANGL (CRNA)

  • 405 ARROWHEAD BLVD

    STE C

    JONESBORO, GA 302361254

    Phone: (770) 478-9877

    Type: Mailing

  • 5126 HOSPITAL DR NE

    COVINGTON, GA 300142566

    Phone: (770) 478-9877

    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: 2012-04-20

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
I20120420000049ICertified 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
01810Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand9082$0
00142Anesthesia for lens surgery7066$0
01940Anesthesia for nerve destruction procedures on spine or spinal cord of lower back accessed through skin using imaging guidance1111$0
View full utilization report →

Insurance plans in this area (ZIP 30236)

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Provider's Procedures

KATHLEEN HURLBUT GANGL (CRNA) performs procedures in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETGA00142Anesthesia for lens surgery7671

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: 6406035583View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)GA
A N E S T H E S I O L O G YGA
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)NC
Certified Registered Nurse Anesthetist (Crna)GA

Reviews

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Frequently asked questions

How do I look up KATHLEEN HURLBUT GANGL (CRNA) by NPI?
Use NPI 1649552977 when you need to reference KATHLEEN HURLBUT GANGL (CRNA) in forms, claims, or directories.
Does this profile mean KATHLEEN HURLBUT GANGL (CRNA) is currently active?
Yes — KATHLEEN HURLBUT GANGL (CRNA) appears active in the national provider directory.
Can you summarize KATHLEEN HURLBUT GANGL (CRNA)'s specialty in plain language?
Clinically, the directory lists KATHLEEN HURLBUT GANGL (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where does public data place KATHLEEN HURLBUT GANGL (CRNA)?
The snapshot lists Jonesboro, Georgia for KATHLEEN HURLBUT GANGL (CRNA); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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