Active NPI
Kent Clifford Ficklin, CRNA
- Certified Registered Nurse Anesthetist
- Pikeville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 3005225
- Practice address
- 911 Bypass Rd BLDG a
Pikeville, KY 41501-1689 - Phone
- (606) 430-3500
- Fax
- (606) 437-1033
- NPI assigned
- Aug 10, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN0000139370 | TN | |
| Certified Registered Nurse Anesthetist | 367500000X | 3005225 | KY | Primary |
Addresses
Primary practice location
911 Bypass Rd BLDG a
Pikeville, KY 41501-1689
Mailing address
PO Box 432
Pikeville, KY 41502-0432
Phone (606) 430-3500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3632329 | Medicaid | TN | |
| 74011073 | Medicaid | KY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kficklin21735@PIKEVILLEKYDIRECT.ORG | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, TN, NC, VA
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Hospital Dr
Galax, VA 24333-2227
Phone (276) 236-1659
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN0000139370 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kentucky Anesthesia Group, PSC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| American Anesthesiology of Tennessee, P.C. | Current | Accepting new patients | |
| American Anesthesiology of Tennessee, P.C. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Medstream Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| CHS Anesthesia Services Group Inc | Current | Accepting new patients | |
| Anesthesia and Pain Consultants,P.C. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
9 Linville Dr
Paris, KY 40361
Phone (859) 987-3600
5000 Ky Route 321
Prestonsburg, KY 41653
Phone (606) 886-7645
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040
200 Hospital Dr
Galax, VA 24333
Phone (276) 236-6011
6801 Governor Gc Peery Hwy
Richlands, VA 24641
Phone (276) 523-8600
Interoperability endpoints
- kficklin21735@pikevillekydirect.org
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Richardson, TX
- NPI 1649616160
Nurse Anesthetist, Certified Registered, VA
-
- Anesthesiology Physician
- Georgetown, KY
- NPI 1073608634
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Knoxville, TN
- NPI 1609822998
-
- Anesthesiology Physician
- Charlotte, NC
- NPI 1346649415
-
- Certified Registered Nurse Anesthetist
- Knoxville, TN
- NPI 1245279777
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Johnson City, TN
- NPI 1750399127
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Twin County Regional Hospital
- General Acute Care Hospital
- Galax, VA
- NPI 1114292141
-
- Physical Therapy Clinic/Center
- Galax, VA
- NPI 1801161369
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747180800000",
"number": "1184626178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 432",
"city": "PIKEVILLE",
"state": "KY",
"postal_code": "415020432",
"telephone_number": "606-430-3500",
"fax_number": "606-437-1033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 BYPASS RD BLDG A",
"city": "PIKEVILLE",
"state": "KY",
"postal_code": "415011689",
"telephone_number": "606-430-3500",
"fax_number": "606-437-1033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FICKLIN",
"first_name": "KENT",
"middle_name": "CLIFFORD",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-10",
"last_updated": "2025-05-14",
"certification_date": "2025-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "RN0000139370",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KY",
"license": "3005225",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3632329",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "74011073",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kficklin21735@PIKEVILLEKYDIRECT.ORG",
"affiliation": "N",
"endpointDescription": "Direct address for ccda",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Standard direct functionality",
"address_1": "911 Bypass Rd Bldg A",
"city": "Pikeville",
"state": "KY",
"country_code": "US",
"postal_code": "415011689",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pikeville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.