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KATELYN E LONGACRE CRNA
NPI 1194161158
Nurse Anesthetist, Certified Registered in Kennesaw, GA

Active since May 17, 2013
93.81/100
CMS Quality Rating
1300 RIDENOUR BLVD NW STE 300, KENNESAW, GA 30152(770) 702-1806(770) 693-0810 Get Directions Write a Review

NPPES record last updated: December 8, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 8, 2023, Feb 20, 2023 (2 updates tracked since 2023).

About Katelyn E Longacre Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATELYN E LONGACRE CRNA (NPI 1194161158) is an individual nurse anesthetist, certified registered in Kennesaw, Georgia, licensed in Georgia (RN311144) and active in the NPI registry since May 2013. She maintains 2 additional practice locations and is a graduate of Other (2013).

NPPES Registry Identity

NPI1194161158
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameKATELYN E LONGACRECredential: CRNA
Location Address1300 RIDENOUR BLVD NW STE 300Kennesaw, GA 30152-4402
Mailing Address1300 Ridenour Blvd Nw Ste 300Kennesaw, GA 30152-4402 · (770) 702-1806 · Fax (770) 693-0810
Phone(770) 702-1806
Fax(770) 693-0810
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMay 17, 2013
Last NPPES UpdateDecember 8, 20232 updates tracked since enumeration
NPPES CertifiedDecember 8, 2023
✔ NPI 1194161158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in GA · RN311144✔ Licensed in FL · RN9292268
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
1300 RIDENOUR BLVD NW STE 300, Kennesaw, GA 30152
Open in Google Maps ↗

Secondary Practice Locations 2

Location 13100 E Fletcher AveTampa, FL 33613-4613 · Phone (813) 615-7294
Location 2758 Old Norcross Rd Ste 125Lawrenceville, GA 30046-3387 · Phone (678) 987-0820

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Oscar Health, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katelyn E Longacre Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1456593300
PECOS Enrollment IDI20220629001587

Medicare Billing Reassignments

15

Medicare enrollment records show Katelyn Longacre reassigns Medicare billing to 15 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mak Anesthesia Georgia, LLC
Same address
Anesthesiology
1300 RIDENOUR BLVD NW STE 300
Kennesaw, GA 30152
  • Reassigned Medicare billing, Georgia enrollment
  • 213 clinicians in this Medicare group
NPI 1609390103 (770) 702-1806
Mak Anesthesia Holdings LLC
Same address
Anesthesiology
1300 RIDENOUR BLVD NW STE 300
Kennesaw, GA 30152
  • Reassigned Medicare billing, Georgia enrollment
  • 629 clinicians in this Medicare group
NPI 1912452939 (770) 702-1806
Wellstar Medical Group, LLC
0.4 mi
Anesthesiology
1180 ERNEST W BARRETT PKWY NW, SUITE 100
Kennesaw, GA 30144
  • Reassigned Medicare billing, Georgia enrollment
  • 3,885 clinicians in this Medicare group
NPI 1245632660 (770) 644-1274
Carpus Surgery Center LLC
8.6 mi
Ambulatory Surgical
3775 ROSWELL RD, SUITE 275
Marietta, GA 30062
  • Reassigned Medicare billing, Georgia enrollment
  • 29 clinicians in this Medicare group
NPI 1568864452 (770) 333-7888
Cpm Surgery Center LLC
9.5 mi
Ambulatory Surgical
3870 MEDICAL PARK DR, SUITE 100
Austell, GA 30106
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Mulkey Anesthesiology Associates, PC
  • 112 clinicians in this Medicare group
NPI 1376716316 (770) 948-6824
Ahs Anesthesia LLC
9.5 mi
Nurse Anesthetist, Certified Registered
3968 FELTON HILL RD SW, 100
Smyrna, GA 30082
  • Reassigned Medicare billing, Georgia enrollment
  • 61 clinicians in this Medicare group
NPI 1316214604 (770) 333-7888
Atlanta Hand Specialist Surgery Center LLC
9.5 mi
Ambulatory Surgical
3968 FELTON HILL RD SW, SUITE 110
Smyrna, GA 30082
  • Reassigned Medicare billing, Georgia enrollment
  • 29 clinicians in this Medicare group
NPI 1285912923 (770) 333-7888
Lunate Surgery Center
15 mi
Ambulatory Surgical
6115 PEACHTREE DUNWOODY RD STE 230
Sandy Springs, GA 30328
  • Reassigned Medicare billing, Georgia enrollment
  • 15 clinicians in this Medicare group
NPI 1932709490 (770) 333-7888
Woodhams Laser & Lens Implant Center LLC
15 mi
Ambulatory Surgical
1140 HAMMOND DR NE, E5100
Atlanta, GA 30328
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Atlanta Anesthesia Consultants LLC
  • 37 clinicians in this Medicare group
NPI 1093748527 (770) 394-4000
Csp Anesthesia LLC
18 mi
Anesthesiology
130 E MAIN ST STE 200
Canton, GA 30114
  • Reassigned Medicare billing, Georgia enrollment
  • 66 clinicians in this Medicare group
NPI 1568946812 (888) 408-0200

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 2

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.

Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
73 services71 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
22 services22 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.75
Promoting Interoperability100
Improvement Activities40

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.

MELODY C BOLTON RUDI
Anesthesiologist Assistant
1300 RIDENOUR BLVD NW STE 300
KENNESAW, GA 30152
Cobb County (985) 722-7993
DAISY TAMBE JEAN-PIERRE CRNA
Nurse Anesthetist, Certified Registered
1300 RIDENOUR BLVD NW STE 300
KENNESAW, GA 30152
Cobb County (770) 702-1806
HENRY RACHAL III M.D.
Anesthesiology
1300 RIDENOUR BLVD NW STE 300
KENNESAW, GA 30152
Cobb County (770) 693-0810
SHEA ELIZABETH REYNOLDS
Nurse Practitioner
1300 RIDENOUR BLVD NW STE 300
KENNESAW, GA 30152
Cobb County (770) 702-1806
WALKER BARROW AA
Anesthesiologist Assistant
1300 RIDENOUR BLVD NW STE 300
KENNESAW, GA 30152
Cobb County (770) 706-1806
HOJEAN YOON MD
Anesthesiology
1300 RIDENOUR BLVD NW STE 300
KENNESAW, GA 30152
Cobb County (770) 702-1806
TANIELIA T CAMPBELL
Anesthesiologist Assistant
1300 RIDENOUR BLVD NW STE 300
KENNESAW, GA 30152
Cobb County (770) 702-1806
DR. GRANT ADAM DOORNBOS M.D.
Anesthesiology
1300 RIDENOUR BLVD NW STE 300
KENNESAW, GA 30152
Cobb County (770) 702-1806

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 Katelyn Longacre's NPI number?

The NPI number for Katelyn Longacre is 1194161158. It was assigned to this individual provider in the NPPES registry on May 17, 2013.

Where is Katelyn Longacre located?

Katelyn Longacre practices at 1300 Ridenour Blvd NW Ste 300, Kennesaw, GA 30152. The listed phone number is (770) 702-1806.

What is Katelyn Longacre's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Katelyn Longacre enrolled in Medicare?

Yes. Katelyn Longacre is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Katelyn Longacre's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katelyn Longacre reassigns Medicare benefits to 15 organizations: Mak Anesthesia Georgia, LLC (Kennesaw, GA), Mak Anesthesia Holdings LLC (Kennesaw, GA), Wellstar Medical Group, LLC (Kennesaw, GA), Carpus Surgery Center LLC (Marietta, GA), Cpm Surgery Center LLC (Austell, GA) and 10 more organizations, listed in the Medicare section above. Each 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 Katelyn Longacre's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katelyn Longacre accept?

Health plans from Alliant Health Plans, Inc., Oscar Health and Oscar Insurance Company list Katelyn Longacre as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Katelyn Longacre was last updated on December 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.