STEPHEN CARL VATH (RN, CRNA) – Certified Registered Nurse Anesthetist, NPI 1043818842

STEPHEN CARL VATH (RN, CRNA) is a healthcare provider. based in Middlesboro, Kentucky. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials RN, CRNA. They hold a License No. RN309929 (GA). The NPI Number for STEPHEN CARL VATH (RN, CRNA) is 1043818842

Main info

Male
Sole Proprietor
5 Years Of Experience
Name
STEPHEN CARL VATH (RN, CRNA)
NPI
1043818842
Phone
(865) 985-6110
Address
111 W CHESTER AVE APT 2A
Enumeration Date
14 October 2020
Last Update Date
8 March 2022

Doctor Profile

Medical School Name
LINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Secondary Phone
7065095000
Graduation Year
2021 (5 years ago)
PAC ID
8628463023
Group Practice PAC ID
0840338018
Professional Enrollment ID
I20220322002014
Address ID
GA301655621RO304XXSWXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

1,370 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in KY

Provider Addresses for STEPHEN CARL VATH (RN, CRNA)

  • 111 W CHESTER AVE APT 2A

    MIDDLESBORO, KY 409652809

    Phone: (865) 985-6110

    Type: Mailing

  • 2710 CONCORD RD

    LA FAYETTE, GA 307285455

    Phone: (865) 985-6110

    Type: Mailing

  • 304 TURNER MCCALL BLVD SW

    ROME, GA 301655621

    Phone: (865) 985-6110

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $83.

Total Amount is formed as General ($83) + Research ($0) + Ownership ($0) = $83.

Last reported payment date: 2024-02-21 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($34).

Total Amount

$83

General + Research + Ownership

Payments

4

Total payment records

General Amount

$83

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-21

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: 2022-03-22

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
I20220322002014ICertified 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 40965)

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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: 0840338018View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YGA
Certified Registered Nurse Anesthetist (Crna)GA
Anesthesiology AssistantMO
-GA
Certified Registered Nurse Anesthetist (Crna)FL
-GA
Anesthesiology AssistantGA
-FL
-GA
Certified Registered Nurse Anesthetist (Crna)GA

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Frequently asked questions

What unique ID ties claims to STEPHEN CARL VATH (RN, CRNA)?
NPI 1043818842 is assigned to STEPHEN CARL VATH (RN, CRNA) under the national enumeration system.
Is STEPHEN CARL VATH (RN, CRNA)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does STEPHEN CARL VATH (RN, CRNA) list a primary specialty?
If you are matching referrals, note Certified Registered Nurse Anesthetist for STEPHEN CARL VATH (RN, CRNA). Clinical services aligned with this taxonomy classification.
What location metadata exists for STEPHEN CARL VATH (RN, CRNA)?
The page summarizes Middlesboro, Kentucky for STEPHEN CARL VATH (RN, CRNA); expand the address list for detail.
What if Middlesboro, Kentucky seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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