EDWARD M GENTRY (CRNA) – Certified Registered Nurse Anesthetist, NPI 1053347005

EDWARD M GENTRY (CRNA) is a healthcare provider. based in Chattanooga, Tennessee. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. RN115372 (TN). The NPI Number for EDWARD M GENTRY (CRNA) is 1053347005

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
EDWARD M GENTRY (CRNA)
NPI
1053347005
Phone
(423) 778-7608
Address
975 E THIRD ST
Enumeration Date
23 June 2006
Last Update Date
25 January 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8652138582
Graduation Year
2005 (21 years ago)
PAC ID
2567475429
Group Practice PAC ID
6608773775
Professional Enrollment ID
I20060718000145
Address ID
TN378741181SW304XXSTXX300
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

2,753 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TN

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Provider Addresses for EDWARD M GENTRY (CRNA)

  • East Third Street Church of Christ, East 3rd Street, Glenwood, Ridgeside, Chattanooga, Hamilton County, East Tennessee, Tennessee, 37404, United States

    CHATTANOOGA, TN 374032147

    Phone: (423) 778-7608

    Fax: (423) 778-2360

    Type: Location

  • PO BOX 11225

    CHATTANOOGA, TN 374012225

    Phone: (423) 892-5602

    Fax: (423) 892-5838

    Type: Mailing

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: 2006-07-18

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
I20060718000145ICertified Registered Nurse Anesthetist (Crna)TNTBD

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 37403)

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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: 6608773775View full group profile
NameSpecialtyState
Nurse PractitionerTN
Nurse PractitionerTN
Physician AssistantTN
Family PracticeTN
Nurse PractitionerTN
Nurse PractitionerTN
Nurse PractitionerTN
O B S T E T R I C S/ G Y N E C O L O G YOK
-TN
Nurse PractitionerTN

Reviews

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Frequently asked questions

What is EDWARD M GENTRY (CRNA)'s NPI number?
EDWARD M GENTRY (CRNA)'s NPI is 1053347005 — the number used across U.S. healthcare to identify this provider.
Would EDWARD M GENTRY (CRNA) appear as active to a payer?
You can treat EDWARD M GENTRY (CRNA) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for EDWARD M GENTRY (CRNA)?
At a glance, EDWARD M GENTRY (CRNA) is tied to Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for EDWARD M GENTRY (CRNA)?
Travel planning: use Chattanooga, Tennessee as the reference point for EDWARD M GENTRY (CRNA), then confirm.
Does EDWARD M GENTRY (CRNA) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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