Individual provider Active NPI

Kimberley Eaton, CRNA

  • Certified Registered Nurse Anesthetist
  • Beachwood, OH
National Provider Identifier
1083771075
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN274240 Issued in OH
Practice address
25501 Chagrin Blvd
Beachwood, OH 44122-5603
Phone
(216) 545-4800
NPI assigned
Jan 2, 2007
Last updated
Feb 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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 RN274240 OH Primary

Addresses

Primary practice location

25501 Chagrin Blvd
Beachwood, OH 44122-5603

Mailing address

2341 Danbury LN
Hudson, OH 44236-1414
Phone (330) 297-0811

Other identifiers 3

IdentifierTypeStateIssuer
H062513OtherOHMEDICARE
000000312061OtherOHANTHEM PROVIDER NUMBER
2466246MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040223000367 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 3678469202 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WRH Physicians, IncGroup PAC ID 0840342366, 149 clinicians

Practice addresses (Care Compare)

158 W Main Rd
Conneaut, OH 44030-2039

1900 23Rd St
Cuyahoga Falls, OH 44223-1404
Phone (330) 971-7246

25501 Chagrin Blvd
Suite 200
Beachwood, OH 44122-5603
Phone (844) 746-8537

7580 Auburn Rd
Suite 214
Concord Township, OH 44077-9617
Phone (440) 354-0944

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.15 of 100Reported as apm
Quality
82.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN274240OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Current Accepting new patients
WRH Physicians, Inc. CurrentSince Nov 4, 2024 Accepting new patients
Northstar Anesthesia of Ohio LLC CurrentSince Mar 17, 2016 Accepting new patients
Ohio Anesthesia Group, Inc Nurse Anesthetist, Certified Registered CurrentSince Aug 7, 2020 Accepting new patients
University Hospitals Medical Group Inc CurrentSince Apr 1, 2023 Accepting new patients
WRH Physicians, Inc. CurrentSince Nov 4, 2024 Accepting new patients
University Primary Care Practices Inc CurrentSince Apr 1, 2023 Accepting new patients
University Primary Care Practices Inc CurrentSince Apr 1, 2023 Accepting new patients
Westgate Pain Management Group, LLC Past Accepting new patients
Westgate Medical Anesthesia Group Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

25501 Chagrin Blvd
Beachwood, OH 44122
Phone (216) 545-4800

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

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

11100 Euclid Ave
Cleveland Heights, OH 44106

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

1900 23rd St
Ste 1100
Cuyahoga Falls, OH 44223
Phone (330) 971-7989

1900 23rd St
Cuyahoga Fls, OH 44223
Phone (330) 929-2685

3033 State Rd
Ste 101
Cuyahoga Fls, OH 44223
Phone (330) 923-8372

411 Devon Pl
Kent, OH 44240
Phone (330) 677-7680

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

36000 Euclid Ave
Willoughby Hills, OH 44094
Phone (440) 375-8166

Interoperability endpoints

  • Direct secure messaging: keaton218685@ehrdirect.uhhospitals.org

Organizations & group practices 10

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 1

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": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1083771075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2341 DANBURY LN",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442361414",
            "telephone_number": "330-297-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25501 CHAGRIN BLVD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225603",
            "telephone_number": "216-545-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EATON",
        "first_name": "KIMBERLEY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "RN274240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "H062513",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "000000312061",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2466246",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; 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.