Individual provider Active NPI

Katherine B Kincer, CRNA

  • Certified Registered Nurse Anesthetist
  • Calais, ME
National Provider Identifier
1093867798
Registry record updated Jul 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RNA203046 Issued in ME
Practice address
24 Hospital LN
Calais, ME 04619-1329
Phone
(910) 642-8011
Fax
(910) 642-9328
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2020

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 RNA203046 ME Primary
Certified Registered Nurse Anesthetist 367500000X 073343 NC

Addresses

Primary practice location

24 Hospital LN
Calais, ME 04619-1329

Mailing address

6355 Ludlum Rd NW
Ash, NC 28420-3217
Phone (910) 540-1781

Other identifiers 2

IdentifierTypeStateIssuer
8052383MedicaidNC
RNA203046OtherMERNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, ME, SC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20051105000330 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 4880612043 Reassigns benefits to 1 organization
I20200820003432 ME Practitioner - Certified Registered Nurse Anesthetist (Crna) 4880612043 Reassigns benefits to 3 organizations
I20240111000555 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 4880612043 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
University of South Carolina School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLeod Physician Associates IIGroup PAC ID 8224031307, 541 clinicians

Practice addresses (Care Compare)

506 E Cheves St
Suite 202
Florence, SC 29506-2616
Phone (843) 777-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1107NCMDPhysical Therapy Assistant
073343NCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Physician Associates II CurrentSince Dec 1, 2023 Accepting new patients
Calais Community Hospital CurrentSince Aug 4, 2020 Accepting new patients
Down East Community Hospital Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2022 Accepting new patients
Calais Community Hospital CurrentSince Sep 24, 2021 Accepting new patients
Nash Hospitals Inc CurrentSince Jan 20, 2020 Accepting new patients
Calais Community Hospital CurrentSince Aug 4, 2020 Accepting new patients
Nash Hospitals Inc Nurse Anesthetist, Certified Registered CurrentSince Jan 20, 2020 Accepting new patients
McLeod Physician Associates II CurrentSince Dec 1, 2023 Accepting new patients
Down East Community Hospital CurrentSince Jan 1, 2022 Accepting new patients

Locations

24 Hospital Ln
Calais, ME 04619
Phone (207) 454-9213

11 Hospital Dr
Machias, ME 04654
Phone (207) 255-0434

2460 Curtis Ellis Dr
Rocky Mount, NC 27804
Phone (252) 443-8199

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

506 E Cheves St
#202
Florence, SC 29506

800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/6b68bc92-a317-4686-a79a-fbb1b58a509e/

Organizations & group practices 9

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594598400000",
    "number": "1093867798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6355 LUDLUM RD NW",
            "city": "ASH",
            "state": "NC",
            "postal_code": "284203217",
            "telephone_number": "910-540-1781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 HOSPITAL LN",
            "city": "CALAIS",
            "state": "ME",
            "postal_code": "046191329",
            "telephone_number": "910-642-8011",
            "fax_number": "910-642-9328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINCER",
        "first_name": "KATHERINE",
        "middle_name": "B",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ME",
            "license": "RNA203046",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "073343",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8052383",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RNA",
            "identifier": "RNA203046",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Calais, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; 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.