Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LORETTA KENDRICKS CRNA
NPI 1245215938
Nurse Anesthetist, Certified Registered in Gallup, NM

Active since December 14, 2005PECOS EnrolledAccepts Medicare Assignment
516 EAST NIZHONI BLVD., GALLUP, NM 87301(505) 722-1000(505) 722-1421 Get Directions Write a Review

NPPES record last updated: September 18, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Loretta Kendricks Crna NPPES

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

LORETTA KENDRICKS CRNA (NPI 1245215938) is an individual nurse anesthetist, certified registered in Gallup, New Mexico, licensed in Illinois (209004287) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with Blessing Hospital, and maintains a secondary practice location in Quincy.

NPPES Registry Identity

NPI1245215938
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameLORETTA KENDRICKSCredential: CRNA
Location Address516 EAST NIZHONI BLVD.Gallup, NM 87301-1337
Mailing AddressPo Box 1337Gallup, NM 87305-1337 · (505) 722-1000 · Fax (505) 722-1421
Fax(505) 722-1421
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateDecember 14, 2005
Last NPPES UpdateSeptember 18, 2026
NPPES CertifiedSeptember 18, 2026
✔ NPI 1245215938 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
License✔ Licensed in IL · 209004287
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.
516 EAST NIZHONI BLVD., Gallup, NM 87301

Secondary Practice Location 1

Location 11005 Broadway StQuincy, IL 62301-2834 · Phone (217) 223-8400 · Fax (217) 223-9552

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

Loretta Kendricks 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.

PECOS PAC ID143119909
PECOS Enrollment IDI20040712000040
Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Loretta Kendricks reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Thoracic Surgery (Cardiothoracic Vascular Surgery)
927 BROADWAY ST, SUITE 205
Quincy, IL 62301
  • Reassigned Medicare billing, Illinois enrollment
  • 127 clinicians in this Medicare group
Anesthesiology
6742 N FROSTWOOD PKWY
Peoria, IL 61615
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Associated Anesthesiologists Sc
  • 337 clinicians in this Medicare group
Anesthesiology
400 N PLEASANT AVE
Centralia, IL 62801
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: St Marys Hospital Centralia Illinois
  • 392 clinicians in this Medicare group
Anesthesiology
3 ERIE CT
Oak Park, IL 60302
  • Reassigned Medicare billing, Illinois enrollment
  • 826 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.

Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Blessing Hospital

Acute Care Hospitals · Quincy, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140015
Location1005 Broadway StQuincy, IL 62301 · Adams County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.21 typical visit price
range $54.26 – $166.80
Typical copayment $31.55 (range $13.56 – $41.70)
Most-billed visit code 99204
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Pediatrics
516 EAST NIZHONI BLVD.
GALLUP, NM 87301
Anesthesiology
516 EAST NIZHONI BLVD.
GALLUP, NM 87301
Nurse Anesthetist, Certified Registered
516 EAST NIZHONI BLVD.
GALLUP, NM 87301
Advanced Practice Midwife
516 EAST NIZHONI BLVD.
GALLUP, NM 87301
Surgery (Trauma Surgery)
516 EAST NIZHONI BLVD.
GALLUP, NM 87301
Dentist (Oral and Maxillofacial Surgery)
516 EAST NIZHONI BLVD.
GALLUP, NM 87301
Orthopaedic Surgery
516 EAST NIZHONI BLVD.
GALLUP, NM 87301
Nurse Practitioner
516 EAST NIZHONI BLVD.
GALLUP, NM 87301

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 Loretta Kendricks's NPI number?

The NPI number for Loretta Kendricks is 1245215938. It was assigned to this individual provider in the NPPES registry on December 14, 2005.

Where is Loretta Kendricks located?

Loretta Kendricks practices at 516 East Nizhoni Blvd., Gallup, NM 87301. The listed phone number is (505) 722-1000.

What is Loretta Kendricks's specialty?

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

Is Loretta Kendricks enrolled in Medicare?

Yes. Loretta Kendricks 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 organizations bill Medicare for Loretta Kendricks's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Loretta Kendricks reassigns Medicare benefits to 4 organizations: Blessing Hospital (Quincy, IL), Associated Anesthesiologists, S.C. (Peoria, IL), St. Mary's Hospital, Centralia, Illinois (Centralia, IL) and North American Partners In Anesthesia (illinois), LLC (Oak Park, IL). 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 Loretta Kendricks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Loretta Kendricks affiliated with any hospitals?

According to CMS data, Loretta Kendricks is affiliated with Blessing Hospital.

When was this NPI record last updated?

The NPPES record for Loretta Kendricks was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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.