JEREMY KEITH CROUCH (CRNA) – Certified Registered Nurse Anesthetist, NPI 1538464086

JEREMY KEITH CROUCH (CRNA) is a healthcare provider. based in Fort knox, Kentucky. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 085227 (TN). The NPI Number for JEREMY KEITH CROUCH (CRNA) is 1538464086

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
JEREMY KEITH CROUCH (CRNA)
NPI
1538464086
Phone
(502) 624-9007
Address
289 IRELAND AVE
Enumeration Date
13 January 2011
Last Update Date
16 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7068821411
Graduation Year
2010 (16 years ago)
PAC ID
9234307018
Group Practice PAC ID
9436372323
Professional Enrollment ID
I20220427001501
Address ID
GA302404131LA1514XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:15State licenses:1Digital endpointsOther names

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

Provider Addresses for JEREMY KEITH CROUCH (CRNA)

  • 289 IRELAND AVE

    IRELAND ARMY COMMUNITY HOSPITAL

    FORT KNOX, KY 401215111

    Phone: (502) 624-9007

    Fax: (502) 624-0252

    Type: Mailing

  • 5001 WELLINGTON WAY

    MIDLAND, GA 318205409

    Phone: (931) 260-1965

    Type: Mailing

  • 6600 VAN AALST BLVD BLDG 9250

    FORT MOORE, GA 319052102

    Phone: (762) 408-0455

    Fax: (000) 000-0000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $147.

Total Amount is formed as General ($147) + Research ($0) + Ownership ($0) = $147.

Last reported payment date: 2024-08-14 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($125).

Total Amount

$147

General + Research + Ownership

Payments

2

Total payment records

General Amount

$147

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-14

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: 2022-10-14

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
I20220427001501ICertified Registered Nurse Anesthetist (Crna)GATBD
I20221014001682ICertified Registered Nurse Anesthetist (Crna)ALTBD

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 40121)

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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: 9436372323View full group profile
NameSpecialtyState
Anesthesiology, Pain ManagementGA
-GA
Certified Registered Nurse Anesthetist (Crna)GA
-GA
Pain Management, AnesthesiologyGA
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)MI

Reviews

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Frequently asked questions

Is JEREMY KEITH CROUCH (CRNA) listed with a National Provider Identifier?
Yes — JEREMY KEITH CROUCH (CRNA) has NPI 1538464086 on file in the registry.
Is JEREMY KEITH CROUCH (CRNA) still an active registrant?
JEREMY KEITH CROUCH (CRNA) carries an active NPI according to the public dataset.
What expertise is attributed to JEREMY KEITH CROUCH (CRNA)?
JEREMY KEITH CROUCH (CRNA)'s specialty line reads Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JEREMY KEITH CROUCH (CRNA)?
Travel planning: use Fort Knox, Kentucky as the reference point for JEREMY KEITH CROUCH (CRNA), then confirm.
Does JEREMY KEITH CROUCH (CRNA) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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