Kimberly Wiest, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

115495 Issued in NC

Practice address

1638 Owen Dr
Fayetteville, NC 28304-3424

Phone

(910) 615-5132

Fax

(910) 321-6236

NPI assigned

Sep 20, 2007

Last updated

Nov 10, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kimberly Fenoli Former name

Medicare fee-for-service enrollment

Enrolled in NC, VA2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anesthesia Care Services PAGroup PAC ID 7012937105, 54 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Anesthesia Care Services, PA

  • Certified Registered Nurse Anesthetist
  • Forest, VA
  • NPI 1609833474

  NC

  Medicare reassignment Care Compare group
• Atlantic Medical Group PC

  • Gastroenterology Physician
  • Jacksonville, NC
  • NPI 1962728394
  Medicare reassignment NPD
• Carolina Anesthesia Associates PA

  • Anesthesiology Physician
  • Statesville, NC
  • NPI 1699723791
  Medicare reassignment NPD
• Carolina Regional Anesthesia PLLC

  • Certified Registered Nurse Anesthetist
  • Pinehurst, NC
  • NPI 1891072609

  Anesthesiology

  Medicare reassignment NPD
• Cumberland County Hospital System Inc

  dba Oncology Services

  • Hematology & Oncology Physician
  • Fayetteville, NC
  • NPI 1881946242
  Medicare reassignment NPD
• Surgery Center Anesthesia Providers PC

  • Certified Registered Nurse Anesthetist
  • Williamsburg, VA
  • NPI 1073807376

  Anesthesiology, NC

  Medicare reassignment NPD
• Atlantic Medical Group PC

  dba Amg Endoscopy Center

  • Ambulatory Surgical Clinic/Center
  • Kinston, NC
  • NPI 1558630483
  NPD
• Cumberland County Hospital System Inc

  dba Cape Fear Valley Anesthesia

  • Certified Registered Nurse Anesthetist
  • Fayetteville, NC
  • NPI 1790784999

  Anesthesiology

  NPD
• Cumberland County Hospital System Inc

  dba Cape Fear Valley Professional Radiology Group

  • Diagnostic Radiology Physician
  • Fayetteville, NC
  • NPI 1962299743
  NPD
• Village Surgical Associates PA

  • Specialist
  • Fayetteville, NC
  • NPI 1891759437
  NPD (past)
• Surgery Center of Central Virginia Inc.

  dba d.b.a. Eye Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Forest, VA
  • NPI 1215957816
  NPD (past)

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447113600000",
    "number": "1194911412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40908",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283090908",
            "telephone_number": "910-615-5132",
            "fax_number": "910-321-6236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1638 OWEN DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043424",
            "telephone_number": "910-615-5132",
            "fax_number": "910-321-6236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEST",
        "first_name": "KIMBERLY",
        "name_prefix": "Miss",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-20",
        "last_updated": "2015-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "115495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194911412",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "FENOLI",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marla McAllister Wicker, MS, CCC-SLP
• Madalyn Wickham, PHARMD
• Yolanda Wideman
• Widow's Mite Non-Emergency Transportation
• Donna Marie Wiener, PH.D.
• Shannon S Wiggins, LCSW
• William James Wiggs Jr., MD
• Erik Wiglama, D.O.
• Clinton Dennis Wilburn, M.D.
• Madison Blair Wilcox, OTR/L

• Certified Registered Nurse Anesthetist in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Certified Registered Nurse Anesthetist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; 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.