CLARENCE E PATTY (CRNA) – Certified Registered Nurse Anesthetist, NPI 1497782122

CLARENCE E PATTY (CRNA) is a healthcare provider. based in Jackson, Michigan. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 1091729 (KY). The NPI Number for CLARENCE E PATTY (CRNA) is 1497782122

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
CLARENCE E PATTY (CRNA)
NPI
1497782122
Phone
(517) 787-6440
Address
744 W MICHIGAN AVE
Enumeration Date
27 June 2006
Last Update Date
23 January 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2702514100
Graduation Year
1994 (32 years ago)
PAC ID
7214834985
Group Practice PAC ID
3274856232
Professional Enrollment ID
I20031219000006
Address ID
KY420661179MA1099XCIRX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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

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Provider Addresses for CLARENCE E PATTY (CRNA)

  • 744, West Michigan Avenue, Jackson, Jackson County, Michigan, 49201, United States

    JACKSON, MI 492011909

    Phone: (517) 787-6440

    Fax: (517) 787-4146

    Type: Mailing

  • Murray-Calloway County Hospital., 803, Poplar Street, Murray, Calloway County, Kentucky, 42071, United States

    MURRAY, KY 420712432

    Phone: (270) 762-1100

    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: 2003-12-19

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
I20031219000006ICertified 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 endoscope2727$0
00813Anesthesia for procedure on small and large bowel using an endoscope2020$0
00811Anesthesia for other procedure on large bowel using an endoscope1414$0
View full utilization report →

Insurance plans in this area (ZIP 49201)

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Provider's Procedures

CLARENCE E PATTY (CRNA) performs procedures in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETKY76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle1313

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)KY
Certified Registered Nurse Anesthetist (Crna)KY
-KY
Certified Registered Nurse Anesthetist (Crna)TN
-OH

Reviews

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Frequently asked questions

What is the registry number for CLARENCE E PATTY (CRNA)?
The registry entry for CLARENCE E PATTY (CRNA) shows NPI 1497782122.
Quick check: is CLARENCE E PATTY (CRNA) active?
Public NPPES data shows CLARENCE E PATTY (CRNA) with an active NPI status right now.
What does the directory say CLARENCE E PATTY (CRNA) does?
Insurance directories may phrase it differently, but here CLARENCE E PATTY (CRNA) maps to Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Can patients visit CLARENCE E PATTY (CRNA) in Jackson, Michigan?
For routing, start with Jackson, Michigan for CLARENCE E PATTY (CRNA), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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