KRISTY DUPUS (CRNA) – Certified Registered Nurse Anesthetist, NPI 1205186483

KRISTY DUPUS (CRNA) is a healthcare provider. based in Longview, Texas. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 89069 (OK). The NPI Number for KRISTY DUPUS (CRNA) is 1205186483

Main info

Female
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
KRISTY DUPUS (CRNA)
NPI
1205186483
Phone
(800) 939-7440
Address
6580 JUDSON RD
Enumeration Date
14 September 2012
Last Update Date
14 September 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9187286010
Graduation Year
2012 (14 years ago)
PAC ID
2860641248
Group Practice PAC ID
7113100470
Professional Enrollment ID
I20120928000075
Address ID
OK741353235TU4200XDRXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

5,279 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TX

Provider Addresses for KRISTY DUPUS (CRNA)

  • 6580 JUDSON RD

    LONGVIEW, TX 756057076

    Phone: (800) 939-7440

    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)

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: 2012-09-28

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
I20120928000075ICertified Registered Nurse Anesthetist (Crna)OKTBD

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 75605)

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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: 7113100470View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)OK
Certified Registered Nurse Anesthetist (Crna)OK
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)OK
Certified Registered Nurse Anesthetist (Crna)OK
Certified Registered Nurse Anesthetist (Crna)OK
Certified Registered Nurse Anesthetist (Crna)KS
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)OK

Reviews

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Frequently asked questions

How is KRISTY DUPUS (CRNA) identified in CMS data?
CMS-hosted NPPES data lists KRISTY DUPUS (CRNA) with NPI 1205186483.
Can I rely on KRISTY DUPUS (CRNA) being an active provider?
As of the registry snapshot, KRISTY DUPUS (CRNA) is marked active.
What taxonomy line describes KRISTY DUPUS (CRNA)?
For research purposes, treat KRISTY DUPUS (CRNA) as Certified Registered Nurse Anesthetist in this dataset. Clinical services aligned with this taxonomy classification.
Does KRISTY DUPUS (CRNA) list a practice location?
Patients near Longview, Texas may find KRISTY DUPUS (CRNA) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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