Individual provider Active NPI

Kerry Leone-Quisenberry, CRNA

  • Certified Registered Nurse Anesthetist
  • Canton, OH
National Provider Identifier
1043216468
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN241500 Issued in OH
Practice address
2600 Sixth St SW
Canton, OH 44710-1702
Phone
(330) 452-9911
NPI assigned
Jun 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN241500 OH Primary

Addresses

Primary practice location

2600 Sixth St SW
Canton, OH 44710-1702

Mailing address

PO Box 80690
Canton, OH 44708-0690
Phone (330) 363-7444

Other identifiers 1

IdentifierTypeStateIssuer
2206446MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Kerry.Leone-Quisenberry@direct.aultman.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041222000762 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 9234197104 Reassigns benefits to 4 organizations
I20240325001123 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 9234197104 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN241500OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Anesthesia Group, Inc Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2019 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Northstar Anesthesia of Ohio LLC CurrentSince May 17, 2015 Accepting new patients
Children'S Hospital Medical Center of Akron CurrentSince Jul 8, 2017 Accepting new patients
University of Pittsburgh Physicians CurrentSince Apr 1, 2024 Accepting new patients
Children'S Hospital Medical Center of Akron CurrentSince Jul 8, 2017 Accepting new patients
Children'S Hospital Medical Center of Akron Current Accepting new patients
Bel-Park Anesthesia Associates, Inc. Nurse Anesthetist, Certified Registered CurrentSince May 5, 2024 Accepting new patients
University of Pittsburgh Physicians CurrentSince Apr 1, 2024 Accepting new patients
Central Ohio Anesthesia Inc Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesthesiology Consultants, Inc. Nurse Anesthetist, Certified Registered Past Accepting new patients
Lababidi Enterprises Inc. PastSince May 1, 2013 Accepting new patients
Westgate Medical Anesthesia Group Nurse Anesthetist, Certified Registered Past Accepting new patients
Consultant Anesthesiologists Inc Past Accepting new patients
Westgate Pain Management Group, LLC Past Accepting new patients
Hudson Physicians Assoc Inc Past Accepting new patients
Stark County Anesthesia, Inc. Past Accepting new patients

Locations

1 Perkins Sq
Akron, OH 44308
Phone (330) 543-8050

155 5th St NE
Barberton, OH 44203
Phone (330) 615-3000

1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

9500 Euclid Ave
#3
Cleveland, OH 44195
Phone (216) 445-0873

18101 Lorain Ave
Cleveland, OH 44111
Phone (216) 476-7029

225 Elyria St
Lodi, OH 44254
Phone (330) 948-1222

335 Glessner Ave
Mansfield, OH 44903
Phone (419) 522-0320

1000 E Washington St
Medina, OH 44256
Phone (330) 654-1185

2615 E High St
Springfield, OH 45505
Phone (888) 861-3994

3893 E Market St
Warren, OH 44484
Phone (330) 856-4000

667 Eastland Ave SE
Warren, OH 44484
Phone (330) 841-2378

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

500 Gypsy Ln
Youngstown, OH 44504
Phone (330) 740-4572

6505 Market St
Youngstown, OH 44512
Phone (330) 726-2100

815 Freeport Rd
Pittsburgh, PA 15215
Phone (412) 784-4000

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

Interoperability endpoints

  • Direct secure messaging: kerry.leone-quisenberry@direct.aultman.org

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1043216468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80690",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447080690",
            "telephone_number": "330-363-7444",
            "fax_number": "330-363-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 SIXTH ST SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447101702",
            "telephone_number": "330-452-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONE-QUISENBERRY",
        "first_name": "KERRY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-21",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "RN241500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2206446",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kerry.Leone-Quisenberry@direct.aultman.org",
            "affiliation": "N",
            "endpointDescription": "Direct email via employer",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2600 Sixth St SW",
            "city": "Canton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "447101702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.