KENNY JOSEPH HEFFERNAN (CRNA) – Certified Registered Nurse Anesthetist, NPI 1033255500

KENNY JOSEPH HEFFERNAN (CRNA) is a healthcare provider. based in Houston, Texas. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 724948 (TX). The NPI Number for KENNY JOSEPH HEFFERNAN (CRNA) is 1033255500

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
KENNY JOSEPH HEFFERNAN (CRNA)
NPI
1033255500
Phone
(713) 458-4185
Address
2411 FOUNTAIN VIEW DR
Enumeration Date
30 January 2007
Last Update Date
27 August 2009

Doctor Profile

Medical School Name
NOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Secondary Phone
2257656565
Graduation Year
2000 (26 years ago)
PAC ID
2961503008
Group Practice PAC ID
0042110298
Professional Enrollment ID
I20140110001477
Address ID
LA708084375BA5000XBLVD300
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

5,281 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TX

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Provider Addresses for KENNY JOSEPH HEFFERNAN (CRNA)

  • 2411, Fountain View Drive, Houston, Harris County, Texas, 77057, United States

    SUITE 200

    HOUSTON, TX 770574817

    Phone: (713) 458-4185

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $13.

Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.

Last reported payment date: 2023-10-05 • Largest payer in this snapshot: Boston Scientific Corporation ($13).

Total Amount

$13

General + Research + Ownership

Payments

1

Total payment records

General Amount

$13

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2014-01-10

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
I20140110001477ICertified Registered Nurse Anesthetist (Crna)LATBD

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
01992Anesthesia for nerve block and injection procedure, prone position3535$0
View full utilization report →

Insurance plans in this area (ZIP 77057)

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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: 0042110298View full group profile
NameSpecialtyState
-LA
Certified Registered Nurse Anesthetist (Crna)LA
Certified Registered Nurse Anesthetist (Crna)LA
-LA
Certified Registered Nurse Anesthetist (Crna)LA
Certified Registered Nurse Anesthetist (Crna)LA
Certified Registered Nurse Anesthetist (Crna)LA
-AL
Certified Registered Nurse Anesthetist (Crna)LA
Certified Registered Nurse Anesthetist (Crna)LA

Reviews

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Frequently asked questions

What unique ID ties claims to KENNY JOSEPH HEFFERNAN (CRNA)?
NPI 1033255500 is assigned to KENNY JOSEPH HEFFERNAN (CRNA) under the national enumeration system.
Is KENNY JOSEPH HEFFERNAN (CRNA)'s NPI currently valid?
The extract we use shows KENNY JOSEPH HEFFERNAN (CRNA) as active.
Can you summarize KENNY JOSEPH HEFFERNAN (CRNA)'s specialty in plain language?
Clinically, the directory lists KENNY JOSEPH HEFFERNAN (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What location shows for KENNY JOSEPH HEFFERNAN (CRNA)?
We surface Houston, Texas for KENNY JOSEPH HEFFERNAN (CRNA) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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