ANNE KATHERINE HENDERSHOTT – Certified Registered Nurse Anesthetist, NPI 1114640679

ANNE KATHERINE HENDERSHOTT is a healthcare provider. based in Knoxville, Tennessee. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 139254 (TN). The NPI Number for ANNE KATHERINE HENDERSHOTT is 1114640679

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
ANNE KATHERINE HENDERSHOTT
NPI
1114640679
Phone
Not provided
Address
416 TRIPLE CROWN BLVD
Enumeration Date
20 September 2022
Last Update Date
20 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8653059220
Graduation Year
2022 (4 years ago)
PAC ID
4284001082
Group Practice PAC ID
8921097197
Professional Enrollment ID
I20221108002328
Address ID
TN379201511KN1924XHWYX317
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

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

Provider Addresses for ANNE KATHERINE HENDERSHOTT

  • 416 TRIPLE CROWN BLVD

    KNOXVILLE, TN 379341209

    Phone:

    Type: Mailing

  • 1924 ALCOA HWY

    KNOXVILLE, TN 379201511

    Phone: (865) 305-9000

    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: 2022-11-08

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
I20221108002328ICertified 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1615$0
00811Anesthesia for other procedure on large bowel using an endoscope1313$0
View full utilization report →

Insurance plans in this area (ZIP 37934)

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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: 8921097197View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)OH
A N E S T H E S I O L O G YTN
A N E S T H E S I O L O G YTN
Certified Registered Nurse Anesthetist (Crna)TN
-TN
Certified Registered Nurse Anesthetist (Crna)TN
Anesthesiology, Interventional Pain Management, Pain ManagementTN

Reviews

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Frequently asked questions

Can I verify ANNE KATHERINE HENDERSHOTT with an NPI only?
You can start verification with NPI 1114640679 for ANNE KATHERINE HENDERSHOTT, then check state licensing separately.
Is ANNE KATHERINE HENDERSHOTT still practicing?
ANNE KATHERINE HENDERSHOTT is currently listed as active in the public NPI registry.
What is ANNE KATHERINE HENDERSHOTT's specialty?
The listing groups ANNE KATHERINE HENDERSHOTT with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where is ANNE KATHERINE HENDERSHOTT based?
ANNE KATHERINE HENDERSHOTT is tied to Knoxville, Tennessee in the data we show; additional addresses may exist on the full record.
Why does ANNE KATHERINE HENDERSHOTT have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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