LORETTA M GILMORE (CRNA) – Certified Registered Nurse Anesthetist, NPI 1124094529

LORETTA M GILMORE (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. RN135808 (GA). The NPI Number for LORETTA M GILMORE (CRNA) is 1124094529

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
LORETTA M GILMORE (CRNA)
NPI
1124094529
Phone
(423) 698-3309
Address
2341 McCallie Ave
Enumeration Date
24 February 2006
Last Update Date
25 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2704653561
Graduation Year
2017 (9 years ago)
PAC ID
7113906793
Group Practice PAC ID
2062866395
Professional Enrollment ID
I20170417000847
Address ID
KY427189615CA1700XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience77
Completeness75
Years active:20State licenses:3Digital endpointsOther names

2,752 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TN

Provider Addresses for LORETTA M GILMORE (CRNA)

  • 2341 McCallie Ave

    Suite 402

    Chattanooga, TN 374043239

    Phone: (423) 698-3309

    Fax: (423) 624-6355

    Type: Location

  • 530 S Jackson St

    Louisville, KY 402021675

    Phone: (502) 852-5851

    Type: Location

  • East Chattanooga Post Office, Crutchfield Street, Riverside Park, Chattanooga, Hamilton County, East Tennessee, Tennessee, 37406, United States

    CHATTANOOGA, TN 374040549

    Phone: (423) 698-3309

    Fax: (423) 624-6355

    Type: Mailing

  • 10415 WALLACE ALLEY ST

    KINGSPORT, TN 376633936

    Phone: (423) 390-0451

    Type: Location

  • 2341, McCallie Avenue, Highland Park, Glenwood, Ridgeside, Chattanooga, Hamilton County, Tennessee, 37404, United States

    SUITE 402

    CHATTANOOGA, TN 374043239

    Phone: (423) 698-3309

    Fax: (423) 624-6355

    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: 2017-04-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20040716000733ICertified Registered Nurse Anesthetist (Crna)VATBD
I20041115000578ICertified Registered Nurse Anesthetist (Crna)TNTBD
I20051230000507ICertified Registered Nurse Anesthetist (Crna)GATBD
I20170417000847ICertified 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 37404)

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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: 2062866395View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)KY
Certified Registered Nurse Anesthetist (Crna)KY
Certified Registered Nurse Anesthetist (Crna)TN
A N E S T H E S I O L O G YAL
Certified Registered Nurse Anesthetist (Crna)KY
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)NY
A N E S T H E S I O L O G YKY
Certified Registered Nurse Anesthetist (Crna)FL

Reviews

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Frequently asked questions

Can I use this page to confirm LORETTA M GILMORE (CRNA)'s NPI?
Yes. LORETTA M GILMORE (CRNA) is listed with NPI 1124094529 in the public NPI dataset.
Can I rely on LORETTA M GILMORE (CRNA) being an active provider?
As of the registry snapshot, LORETTA M GILMORE (CRNA) is marked active.
What is LORETTA M GILMORE (CRNA)'s primary classification?
Certified Registered Nurse Anesthetist is the headline specialty for LORETTA M GILMORE (CRNA) here. Clinical services aligned with this taxonomy classification.
What address line appears for LORETTA M GILMORE (CRNA)?
LORETTA M GILMORE (CRNA)'s geographic hint is Chattanooga, Tennessee in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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