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: September 06, 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
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

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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

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.

Anesthesiologist Assistant
1300 RIDENOUR BLVD NW STE 300
KENNESAW, GA 30152
Anesthesiologist Assistant
1300 RIDENOUR BLVD NW STE 300
KENNESAW, GA 30152
Nurse Anesthetist, Certified Registered
1300 RIDENOUR BLVD NW STE 300
KENNESAW, GA 30152
Anesthesiology
1300 RIDENOUR BLVD NW STE 300
KENNESAW, GA 30152
Nurse Practitioner
1300 RIDENOUR BLVD NW STE 300
KENNESAW, GA 30152
Anesthesiologist Assistant
1300 RIDENOUR BLVD NW STE 300
KENNESAW, GA 30152
Anesthesiology
1300 RIDENOUR BLVD NW STE 300
KENNESAW, GA 30152
Anesthesiologist Assistant
1300 RIDENOUR BLVD NW STE 300
KENNESAW, GA 30152

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.

What insurance does Katelyn Longacre accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers 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.