DR. KENNETH WAYNE JR. EDMISSON (ND EDD RNC FNP CRNA) – Family Nurse Practitioner, NPI 1295731081
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,371 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in KY
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Provider Addresses for DR. KENNETH WAYNE JR. EDMISSON (ND EDD RNC FNP CRNA)
225, Medical Center Drive, Forest Hill, Paducah, McCracken County, Kentucky, 42003, United States
#405
PADUCAH, KY 420037914
Phone: (270) 441-4750
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: 2022-12-30
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20221230001138 | I | Certified Registered Nurse Anesthetist (Crna) | TN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 30 | 27 | $0 |
| 00142 | Anesthesia for lens surgery | 21 | 19 | $0 |
| 01922 | Anesthesia for x-ray or radiation therapy | 15 | 15 | $0 |
| 00812 | Anesthesia for exam of colon using an endoscope | 11 | 11 | $0 |
Insurance plans in this area (ZIP 42003)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CERTIFIED REGISTERED NURSE ANESTHET | KY | 01402 | Anesthesia for open or endoscopic total knee joint replacement | 17 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TN | |
| Certified Registered Nurse Anesthetist (Crna) | TN | |
| - | TN | |
| - | TN | |
| Certified Registered Nurse Anesthetist (Crna) | KY | |
| - | TN | |
| - | TN | |
| Certified Registered Nurse Anesthetist (Crna) | TN | |
| - | TN | |
| Certified Registered Nurse Anesthetist (Crna) | TN |
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