Individual provider Active NPI

Kent Clifford Ficklin, CRNA

  • Certified Registered Nurse Anesthetist
  • Pikeville, KY
National Provider Identifier
1184626178
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3005225 Issued in KY
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

Updated by the provider on May 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3632329MedicaidTN
74011073MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kficklin21735@PIKEVILLEKYDIRECT.ORG Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, TN, NC, VA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20071112000079 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 4486742335 Reassigns benefits to 1 organization
I20230531000585 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 4486742335 Reassigns benefits to 1 organization
I20250527001609 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 4486742335 Reassigns benefits to 1 organization
I20260225000239 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4486742335 Reassigns benefits to 1 organization

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
Medstream Anesthesia PLLCGroup PAC ID 7416198049, 571 clinicians

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

LicenseStateTypeSpecialty
RN0000139370TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Anesthesia Group, PSC Nurse Anesthetist, Certified Registered CurrentSince Mar 7, 2018 Accepting new patients
American Anesthesiology of Tennessee, P.C. CurrentSince May 25, 2023 Accepting new patients
American Anesthesiology of Tennessee, P.C. Nurse Anesthetist, Certified Registered CurrentSince May 25, 2023 Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Dec 30, 2025 Accepting new patients
CHS Anesthesia Services Group Inc CurrentSince Mar 13, 2025 Accepting new patients
Anesthesia and Pain Consultants,P.C. Nurse Anesthetist, Certified Registered PastSince Mar 1, 2000 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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.

Verify at the official NPI Registry.