Individual provider Active NPI

Kristina Lynn Hintzsche, CRNA

  • Certified Registered Nurse Anesthetist
  • Batesville, MS
National Provider Identifier
1215452826
Registry record updated Sep 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
95000757 Issued in CA
Practice address
303 Medical Center Dr
Batesville, MS 38606-8608
Phone
(662) 550-4299
Fax
(662) 580-4324
NPI assigned
Aug 4, 2017
Last updated
Sep 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2018

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 PENDING CA
Certified Registered Nurse Anesthetist 367500000X 95000757 CA Primary

Addresses

Primary practice location

303 Medical Center Dr
Batesville, MS 38606-8608

Mailing address

2920 Vigilante Ave Unit a
Lemoore, CA 93245-3112

Other names 1

  • Kristina Lynn Demill Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170816001979 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8628340395
I20211018001418 WA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8628340395 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
National Medical University, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Wa Anesthesia Services, PCGroup PAC ID 9335298884, 85 clinicians

Practice addresses (Care Compare)

1321 Colby Ave
Everett, WA 98201-1665
Phone (914) 491-9495

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
74.5 of 100Reported as group
Quality
70
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PENDINGCAMDDentist
95023812CAMDNeonatal Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Paceline Anesthesia, PLLC Single Specialty CurrentSince Sep 1, 2022 Accepting new patients
Washington Anesthesia Partners P.C. Single Specialty CurrentSince Jul 1, 2024 Accepting new patients
Providence Wa Anesthesia Services, P.C. Single Specialty CurrentSince Oct 1, 2021 Accepting new patients

Locations

111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700

1135 116th Ave NE
Ste 570
Bellevue, WA 98004
Phone (425) 451-7335

340 Birchwood Ave
Bellingham, WA 98225
Phone (267) 817-8902

1900 Cooks Hill Rd
Centralia, WA 98531
Phone (360) 330-8627

12800 Bothell Everett Hwy
Ste 200
Everett, WA 98208
Phone (206) 259-3122

1321 Colby Ave
Everett, WA 98201
Phone (425) 259-4413

5801 Soundview Dr
Ste 156
Gig Harbor, WA 98335
Phone (253) 268-0720

2100 Little Mountain Ln
Mount Vernon, WA 98274
Phone (360) 416-6735

1101 Madison St
Ste 400
Seattle, WA 98104
Phone (206) 505-1230

2815 Elliott Ave
Ste 100
Seattle, WA 98121
Phone (206) 316-1106

Organizations & group practices 3

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": "1501804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537142400000",
    "number": "1215452826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 VIGILANTE AVE UNIT A",
            "city": "LEMOORE",
            "state": "CA",
            "postal_code": "932453112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 MEDICAL CENTER DR",
            "city": "BATESVILLE",
            "state": "MS",
            "postal_code": "386068608",
            "telephone_number": "662-550-4299",
            "fax_number": "662-580-4324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINTZSCHE",
        "first_name": "KRISTINA",
        "middle_name": "LYNN",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-04",
        "last_updated": "2018-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "PENDING",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "95000757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINA",
            "last_name": "DEMILL",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Batesville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2018; 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.