Individual provider Active NPI

Kimberly Diane Matthews Christopher, CRNA

  • Certified Registered Nurse Anesthetist
  • Morgantown, WV
National Provider Identifier
1083615876
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
37117 Issued in WV
Practice address
1075 Van Voorhis Rd Ste 100
Morgantown, WV 26505-3587
Phone
(304) 598-6216
NPI assigned
Aug 3, 2005
Last updated
Mar 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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 RN-275195-L PA
Certified Registered Nurse Anesthetist 367500000X 37117 WV Primary

Addresses

Primary practice location

1075 Van Voorhis Rd Ste 100
Morgantown, WV 26505-3587

Mailing address

PO Box 780
Morgantown, WV 26507-0780

Other names 1

  • Kimberly Diane Christopher Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, WV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041207000675 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1658337084 Reassigns benefits to 4 organizations
I20050614000258 WV Practitioner - Certified Registered Nurse Anesthetist (Crna) 1658337084 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rgal Anesthesia Services LLCGroup PAC ID 7517130602, 126 clinicians
Uniontown Anesthesia LLCGroup PAC ID 1052641859, 26 clinicians
Fayette Physician Network IncGroup PAC ID 3375865819, 309 clinicians

Practice addresses (Care Compare)

1075 Van Voorhis Rd
Suite 100
Morgantown, WV 26505-3587
Phone (304) 598-4830

2112 Harrisburg Pike
Suite 202
Lancaster, PA 17601-2644
Phone (717) 869-4600

500 W Berkeley St
Uniontown, PA 15401-5514
Phone (724) 430-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN-275195-LPAMDCertified Registered Nurse Anesthetist
37117WVMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia University Medical Corporation CurrentSince Jun 1, 2005 Accepting new patients
Southwestern Gastrointestinal Specialists PC CurrentSince Sep 30, 2021 Accepting new patients
West Virginia University Medical Corporation CurrentSince Jun 1, 2005 Accepting new patients
Uniontown Anesthesia LLC CurrentSince Oct 1, 2019 Accepting new patients
Rgal Anesthesia Services LLC CurrentSince Sep 1, 2022 Accepting new patients
Northstar Anesthesia of West Virginia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2018 Accepting new patients
Fayette Physician Network Inc CurrentSince Oct 26, 2022 Accepting new patients
Uniontown Anesthesia Associates, LTD Past Accepting new patients

Locations

2104 Harrisburg Pike
Ste 300
Lancaster, PA 17601
Phone (717) 544-3400

2112 Harrisburg Pike
Ste 202
Lancaster, PA 17601
Phone (717) 544-3500

201 Mary Higginson Ln
Uniontown, PA 15401
Phone (724) 430-5940

205 Mary Higginson Ln
#2
Uniontown, PA 15401
Phone (201) 804-2811

300 Spring Creek Ln
Uniontown, PA 15401
Phone (724) 437-7677

500 W Berkeley St
Uniontown, PA 15401
Phone (724) 430-5000

1340 Hal Greer Blvd
Huntington, WV 25701
Phone (304) 399-2960

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

1075 Van Voorhis Rd
Ste 100
Morgantown, WV 26505
Phone (304) 598-6216

1200 J D Anderson Dr
Morgantown, WV 26505
Phone (304) 598-1460

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1083615876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 780",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265070780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 VAN VOORHIS RD STE 100",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265053587",
            "telephone_number": "304-598-6216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS CHRISTOPHER",
        "first_name": "KIMBERLY",
        "middle_name": "DIANE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-03",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN-275195-L",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WV",
            "license": "37117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "CHRISTOPHER",
            "middle_name": "DIANE",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Mar 12, 2024; 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.