Active NPI
Walter J Kielkowski, CRNA
- Certified Registered Nurse Anesthetist
- Morgantown, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 63814
- Practice address
- 101 Stadium Dr
Morgantown, WV 26506-7911 - Phone
- (304) 598-4000
- Fax
- (304) 293-6963
- NPI assigned
- Mar 18, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 63814 | WV | Primary |
Addresses
Primary practice location
101 Stadium Dr
Morgantown, WV 26506-7911
Mailing address
PO Box 897
Morgantown, WV 26507-0897
Phone (304) 293-7401
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2603458000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43370 | FL | MD | Emergency Medicine Physician |
| 63814 | WV | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Virginia University Medical Corporation | Current | Accepting new patients | |
| West Virginia University Medical Corporation | Current | Accepting new patients | |
| Michael E Donohoe Crna Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Florida Hospital Ocala Inc | Past | Accepting new patients | |
| Ocala Regional Medical Center Anesthesia Inc | Past | Accepting new patients | |
| Ocala Surgical Center Anesthesia Inc | Past | Accepting new patients | |
| Sacher Anesthesia and Pain Management Inc | Past | Accepting new patients | |
| Lake County Anesthesia Associates PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
801 Harrison Ave
Elkins, WV 26241
Phone (304) 637-3640
1200 J D Anderson Dr
Morgantown, WV 26505
Phone (304) 598-1460
1 Medical Center Dr
Bsmt
Morgantown, WV 26506
Phone (304) 293-7521
1160 Van Voorhis Rd
Morgantown, WV 26505
Phone (304) 598-1100
930 Chestnut Ridge Rd
Morgantown, WV 26505
Phone (304) 293-5299
1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500
Organizations & group practices 8
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.
-
- Family Medicine Physician
- Morgantown, WV
- NPI 1275504508
-
- Community/Behavioral Health Agency
- Martinsburg, WV
- NPI 1174233530
-
- General Acute Care Hospital
- Ocala, FL
- NPI 1740772268
-
- Pain Medicine (Anesthesiology) Physician
- Leesburg, FL
- NPI 1033163464
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Ocala, FL
- NPI 1770681090
Nurse Anesthetist, Certified Registered
-
- Specialist
- Ocala, FL
- NPI 1194719575
-
- Specialist
- Ocala, FL
- NPI 1891789269
-
- Pain Clinic/Center
- Ocala, FL
- NPI 1952395345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1053370197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 897",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265070897",
"telephone_number": "304-293-7401",
"fax_number": "304-293-6963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 STADIUM DR",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265067911",
"telephone_number": "304-598-4000",
"fax_number": "304-293-6963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIELKOWSKI",
"first_name": "WALTER",
"middle_name": "J",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-18",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WV",
"license": "63814",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2603458000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.