TEENA PATTY (CRNA) – Certified Registered Nurse Anesthetist, NPI 1194761106

TEENA PATTY (CRNA) is a healthcare provider. based in Mayfield, Kentucky. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 1091722 (KY). The NPI Number for TEENA PATTY (CRNA) is 1194761106

Main info

Female
Sole Proprietor
29 Years Of Experience
Accepts Medicare Assignment
Name
TEENA PATTY (CRNA)
NPI
1194761106
Phone
(270) 251-0079
Address
1549 BELLEMEADE DR
Enumeration Date
20 June 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2702514100
Graduation Year
1997 (29 years ago)
PAC ID
8123925898
Group Practice PAC ID
3274856232
Professional Enrollment ID
I20031223000097
Address ID
KY420661179MA1099XCIRX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,371 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in KY

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Provider Addresses for TEENA PATTY (CRNA)

  • 1549, Bellemeade Drive, Mayfield, Graves County, Kentucky, 42066, United States

    MAYFIELD, KY 420663723

    Phone: (270) 251-0079

    Fax: (270) 251-0079

    Mailing address matches the actual address.

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: 2003-12-23

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
I20031223000097ICertified Registered Nurse Anesthetist (Crna)KYTBD

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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2222$0
00813Anesthesia for procedure on small and large bowel using an endoscope1313$0
View full utilization report →

Insurance plans in this area (ZIP 42066)

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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: 3274856232View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)KY
-KY
Certified Registered Nurse Anesthetist (Crna)KY
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)KY
-KY
Certified Registered Nurse Anesthetist (Crna)TN
-OH

Reviews

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Frequently asked questions

How do payers reference TEENA PATTY (CRNA)?
For TEENA PATTY (CRNA), use NPI 1194761106 as the unique 10-digit identifier.
Is there an active status for TEENA PATTY (CRNA)?
For scheduling context, TEENA PATTY (CRNA) is shown as active in the registry.
What area of care is associated with TEENA PATTY (CRNA)?
TEENA PATTY (CRNA)'s record emphasizes Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is TEENA PATTY (CRNA) associated with Mayfield?
Public fields place TEENA PATTY (CRNA) around Mayfield, Kentucky. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for TEENA PATTY (CRNA) is noted as June 20, 2006 where the registry provides it.