Individual provider Active NPI

Kristin Patricia Barth, CRNA

  • Certified Registered Nurse Anesthetist
  • West Salem, WI
National Provider Identifier
1114165479
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0001237783 Issued in VA
Practice address
135 Marigold LN S
West Salem, WI 54669-9386
Phone
(608) 498-0375
NPI assigned
Jan 25, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 209.007424 IL
Certified Registered Nurse Anesthetist 367500000X 100444 GU
Certified Registered Nurse Anesthetist 367500000X 0001237783 VA Primary

Addresses

Primary practice location

135 Marigold LN S
West Salem, WI 54669-9386

Mailing address

3998 Fair Ridge Drive
Suite 300
Fairfax, VA 22033-2921
Phone (703) 293-9590

Other identifiers 1

IdentifierTypeStateIssuer
1114165479MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, VA, NC, DC, GU5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20100331000682 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 2365578150 Reassigns benefits to 1 organization
I20110825000658 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2365578150 Reassigns benefits to 6 organizations
I20180730002176 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 2365578150 Reassigns benefits to 1 organization
I20240805003335 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 2365578150 Reassigns benefits to 1 organization
I20250508003145 GU Practitioner - Certified Registered Nurse Anesthetist (Crna) 2365578150 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Anesthesiology of Virginia PCGroup PAC ID 6800790023, 514 clinicians
SMG Anesthesia Specialists LLCGroup PAC ID 6305081118, 501 clinicians
Northstar Anesthesia of Virginia, LLCGroup PAC ID 6608268826, 407 clinicians
Dogwood Anesthesia Providers LLCGroup PAC ID 2769853084, 141 clinicians

Practice addresses (Care Compare)

1500 Commonwealth Ave
Williamsburg, VA 23185-5229
Phone (757) 585-2200

19455 Deerfield Ave
Suite 204
Leesburg, VA 20176-8102
Phone (703) 724-9950

2300 Opitz Blvd
Woodbridge, VA 22191-3311
Phone (844) 334-9458

3636 High St
Portsmouth, VA 23707-3236
Phone (757) 398-2200

541 Sunset LN
Suite 201
Culpeper, VA 22701-3979
Phone (540) 829-0700

7101 Jahnke Rd
Richmond, VA 23225-4017
Phone (804) 483-0817

736 Battlefield Blvd N
Chesapeake, VA 23320-4941
Phone (757) 312-6162

Hospital & facility affiliations

  • Sentara Careplex Hospital Hospital, Hampton, VA, CCN 490093
  • Bon Secours Maryview Medical Center Hospital, Portsmouth, VA, CCN 490017
  • CJW Medical Center Hospital, Richmond, VA, CCN 490112
  • Riverside Doctors' Hospital of Williamsburg Hospital, Williamsburg, VA, CCN 490143

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.007424ILMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Dogwood Anesthesia Providers, LLC CurrentSince Jan 2, 2023 Accepting new patients
Virginia Anesthesia and Perioperative Care Specialists LLC CurrentSince Nov 15, 2016 Accepting new patients
SMG Anesthesia Specialists LLC CurrentSince Oct 28, 2025 Accepting new patients
Guam Healthcare Development Incorporated CurrentSince Apr 7, 2025 Accepting new patients
Midwest Anesthesia Providers S.C Nurse Anesthetist, Certified Registered CurrentSince Jun 4, 2018 Accepting new patients
Northstar Anesthesia of Virginia, LLC CurrentSince Apr 6, 2024 Accepting new patients
East Carolina Anesthesia Associates, PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 25, 2018 Accepting new patients
Atlantic Anesthesia, Inc CurrentSince Apr 15, 2019 Accepting new patients
Galesburg Professional Services LLC Past Accepting new patients

Locations

13500 Powers Ct
Ste 230
Fort Myers, FL 33912
Phone (239) 610-0784

133 Route 3
Dededo, GU 96929
Phone (671) 645-5500

1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240

2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140

2100 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 744-3229

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000

736 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6124

541 Sunset Ln
Ste 201
Culpeper, VA 22701
Phone (540) 829-0700

760 McGuire Pl
Fl 2
Newport News, VA 23601
Phone (757) 591-2260

600 Gresham Dr
Norfolk, VA 23507
Phone (757) 473-0055

830 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-6000

1401 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 327-4046

7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088

2025 Glenn Mitchell Dr
Virginia Beach, VA 23456
Phone (757) 507-1000

134 Business Park Dr
Virginia Beach, VA 23462
Phone (757) 473-0044

2300 Opitz Blvd
Woodbridge, VA 22191
Phone (703) 523-1000

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 and National Provider Directory roles.

Hospital & facility affiliations 12

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": "1232841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1114165479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3998 FAIR RIDGE DRIVE",
            "address_2": "SUITE 300",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332921",
            "telephone_number": "703-293-9590",
            "fax_number": "703-766-9725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 MARIGOLD LN S",
            "city": "WEST SALEM",
            "state": "WI",
            "postal_code": "546699386",
            "telephone_number": "608-498-0375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTH",
        "first_name": "KRISTIN",
        "middle_name": "PATRICIA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-25",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209.007424",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GU",
            "license": "100444",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0001237783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114165479",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Salem, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; 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.