MR. JONNATHAN E. BAILEY (CRNA) – Certified Registered Nurse Anesthetist, NPI 1699774745

MR. JONNATHAN E. BAILEY (CRNA) is a healthcare provider. based in Harlan, Kentucky. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 071742 (WV). The NPI Number for MR. JONNATHAN E. BAILEY (CRNA) is 1699774745

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
MR. JONNATHAN E. BAILEY (CRNA)
NPI
1699774745
Phone
(606) 574-8425
Address
81 BALL PARK RD
Enumeration Date
20 July 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3042564100
Graduation Year
2004 (22 years ago)
PAC ID
1254398431
Group Practice PAC ID
7416198049
Professional Enrollment ID
I20041220000626
Address ID
WV258013357BE1710XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

720 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in WV

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Provider Addresses for MR. JONNATHAN E. BAILEY (CRNA)

  • Ball Park Road, Harlan County, Kentucky, 40855, United States

    HARLAN, KY 408311701

    Phone: (606) 574-8425

    Fax: (606) 574-8013

    Type: Mailing

  • Beckley Appalachian Regional Hospital, 306, Stanaford Road, Beckley, Raleigh County, West Virginia, 25801, United States

    BECKLEY, WV 258013142

    Phone: (304) 255-3000

    Fax: (606) 574-8013

    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: 2004-12-20

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
I20041220000626ICertified Registered Nurse Anesthetist (Crna)WVTBD

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 40831)

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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: 7416198049View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)AZ
-NC
Certified Registered Nurse Anesthetist (Crna)MS
-TN
Certified Registered Nurse Anesthetist (Crna)WV
-GA
Certified Registered Nurse Anesthetist (Crna)SC
Certified Registered Nurse Anesthetist (Crna)TX
-NC
A N E S T H E S I O L O G YMI

Reviews

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Frequently asked questions

How do I look up MR. JONNATHAN E. BAILEY (CRNA) by NPI?
Use NPI 1699774745 when you need to reference MR. JONNATHAN E. BAILEY (CRNA) in forms, claims, or directories.
Is MR. JONNATHAN E. BAILEY (CRNA)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is MR. JONNATHAN E. BAILEY (CRNA)?
The page reflects Certified Registered Nurse Anesthetist for MR. JONNATHAN E. BAILEY (CRNA). Clinical services aligned with this taxonomy classification.
What location metadata exists for MR. JONNATHAN E. BAILEY (CRNA)?
The page summarizes Harlan, Kentucky for MR. JONNATHAN E. BAILEY (CRNA); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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