JUSTIN TIMOTHY PATE CRNA
NPI 1124678859
Nurse Anesthetist, Certified Registered in Somerset, KY
About Justin Timothy Pate Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JUSTIN TIMOTHY PATE CRNA (NPI 1124678859) is an individual nurse anesthetist, certified registered in Somerset, Kentucky, licensed in Kentucky (3013814) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS, is affiliated with Clark Regional Medical Center, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Justin Timothy Pate Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Justin Pate reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lexington, KY 40509
- Reassigned Medicare billing, Kentucky enrollment
- 462 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Clark Regional Medical Center
Acute Care Hospitals · Winchester, KYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 42503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SOMERSET, KY 42503
SOMERSET, KY 42503
SOMERSET, KY 42503
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Justin Pate's NPI number?
The NPI number for Justin Pate is 1124678859. It was assigned to this individual provider in the NPPES registry on September 15, 2019.
Where is Justin Pate located?
Justin Pate practices at 305 Langdon St, Somerset, KY 42503. The listed phone number is (606) 678-3288.
What is Justin Pate's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Justin Pate enrolled in Medicare?
Yes. Justin Pate is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Justin Pate's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Justin Pate reassigns Medicare benefits to Commonwealth Anesthesia, Psc (Lexington, KY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Justin Pate's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Justin Pate affiliated with any hospitals?
According to CMS data, Justin Pate is affiliated with Clark Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Justin Pate was last updated on September 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Justin Timothy Pate, CRNA · NPI 1124678859
Nurse Anesthetist, Certified Registered physician in Somerset, Kentucky. Individual provider, active in the CMS NPPES registry since September 15, 2019.
## Identity
- **NPI:** 1124678859 (Entity type: Individual)
- **Enumerated:** September 15, 2019
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 3013814 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 305 LANGDON ST, Somerset, KY 42503-2750
- **Phone:** (606) 678-3288
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** Commonwealth Anesthesia, Psc (NPI 1437196300, Lexington, KY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** September 15, 2019
---
Source: [NPI Profile](https://npiprofile.com/npi/1124678859) · Data from the CMS NPPES public registry.