Timothy Kuypers, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

230810 Issued in WI

Practice address

362 Jefferson CT
Vernon Hills, IL 60061-1349

Phone

(224) 595-6541

NPI assigned

Sep 28, 2018

Last updated

Jul 5, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Racine Anesthesia Services LLCGroup PAC ID 8628103777, 81 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension All Saints Hospital Hospital, Racine, WI, CCN 520096

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Racine Anesthesia Services, LLC

  • Anesthesiology Physician
  • Mount Pleasant, WI
  • NPI 1467782748

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Laboratory Corportation of America Holdings

  • Clinical Medical Laboratory
  • Clinton, IN
  • NPI 1194140293
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ascension All Saints Hospital, Inc

  dba Ascension All Saints Hospital

  • General Acute Care Hospital
  • Racine, WI
  • NPI 1639123284
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1538092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562284800000",
    "number": "1184109704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "362 JEFFERSON CT",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611349",
            "telephone_number": "224-595-6541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "362 JEFFERSON CT",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611349",
            "telephone_number": "224-595-6541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUYPERS",
        "first_name": "TIMOTHY",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-28",
        "last_updated": "2019-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "230810-30",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WI",
            "license": "230810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kemal Kucuk
• Thomas Kukla, D.D.S.
• Amit Kumar, DDS
• Erin Kunkler
• Viktoriya Kushnir, DMD
• Tommy Kwak, M.D.
• Thomas E Kwiatt, D.D.S.
• Mary Gail H Kwiecinski, D.P.M.
• Brooke Lyn La Count, MA, LPC
• David Ari Labowitz, DO

• Certified Registered Nurse Anesthetist in Vernon Hills, IL
• Providers in Vernon Hills, IL by specialty
• Certified Registered Nurse Anesthetist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2019; 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.