MR. KENNETH PATTON SPEAK CRNA
NPI 1780753137
Nurse Anesthetist, Certified Registered in Pennington Gap, VA
About Mr. Kenneth Patton Speak Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. KENNETH PATTON SPEAK CRNA (NPI 1780753137) is an individual nurse anesthetist, certified registered in Pennington Gap, Virginia, licensed in Virginia (33147) and active in the NPI registry since November 2006. He is a graduate of Other (1981).
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
Mr. Kenneth Patton Speak 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 Reassignments
5Medicare enrollment records show Kenneth Speak reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Kingsport, TN 37660
- Reassigned Medicare billing, Tennessee enrollment
- 49 clinicians in this Medicare group
Kingsport, TN 37663
- Reassigned Medicare billing, Tennessee enrollment
- 28 clinicians in this Medicare group
Johnson City, TN 37604
- Reassigned Medicare billing, Tennessee enrollment
- 33 clinicians in this Medicare group
Bradenton, FL 34208
- Reassigned Medicare billing, Tennessee enrollment
- 65 clinicians in this Medicare group
Richardson, TX 75082
- Reassigned Medicare billing, Tennessee and Virginia enrollments
- 166 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 7
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 24277 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 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PENNINGTON GAP, VA 24277
PENNINGTON GAP, VA 24277
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 Kenneth Speak's NPI number?
The NPI number for Kenneth Speak is 1780753137. It was assigned to this individual provider in the NPPES registry on November 7, 2006.
Where is Kenneth Speak located?
Kenneth Speak practices at 127 Health Care Dr, Pennington Gap, VA 24277. The listed phone number is (276) 546-1440.
What is Kenneth Speak's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Kenneth Speak enrolled in Medicare?
Yes. Kenneth Speak 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 Kenneth Speak's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Speak reassigns Medicare benefits to 5 organizations: Gastroenterology Associates (Kingsport, TN), Northeast Tennessee Anesthesia, PLLC (Kingsport, TN), Tennessee Valley Anesthesia Associates, LLC (Johnson City, TN), Anesthesia Dynamics LLC (Bradenton, FL) and Medstream Anesthesia PLLC (Richardson, TX). 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 Kenneth Speak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kenneth Speak was last updated on October 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mr. Kenneth Patton Speak, CRNA · NPI 1780753137
Nurse Anesthetist, Certified Registered physician in Pennington Gap, Virginia. Individual provider, active in the CMS NPPES registry since November 7, 2006.
## Identity
- **NPI:** 1780753137 (Entity type: Individual)
- **Enumerated:** November 7, 2006
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 33147 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 127 HEALTH CARE DR, Pennington Gap, VA 24277-2853
- **Phone:** (276) 546-1440 · **Fax:** (276) 546-5759
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Gastroenterology Associates (NPI 1770578270, Kingsport, TN); Northeast Tennessee Anesthesia, PLLC (NPI 1437436102, Kingsport, TN); Tennessee Valley Anesthesia Associates, LLC (NPI 1053881706, Johnson City, TN); Anesthesia Dynamics LLC (NPI 1073001012, Bradenton, FL); Medstream Anesthesia PLLC (NPI 1649616160, Richardson, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1981
## Record status
- **NPPES last updated:** October 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1780753137) · Data from the CMS NPPES public registry.