Individual provider Active NPI

Kristina E Draper, CRNA

  • Certified Registered Nurse Anesthetist
  • Kearney, NE
National Provider Identifier
1215904057
Registry record updated Nov 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
NE100804 Issued in NE
Practice address
115 E 52ND St
Kearney, NE 68847-0502
Phone
(308) 236-5506
Fax
(308) 236-7089
NPI assigned
Mar 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X NE100804 NE Primary

Addresses

Primary practice location

115 E 52ND St
Kearney, NE 68847-0502

Mailing address

115 E 52ND St
Kearney, NE 68847-0502
Phone (402) 489-4186

Other identifiers 2

IdentifierTypeStateIssuer
47068752601MedicaidNE
47061979815MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101012000726 NE Practitioner - Certified Registered Nurse Anesthetist (Crna) 6204028087 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kearney Anesthesia Associates PCGroup PAC ID 9335132141, 18 clinicians

Practice addresses (Care Compare)

10 E 31St St
CHI Good Samaritan Hospital
Kearney, NE 68847-2908
Phone (308) 865-7100

Hospital & facility affiliations

  • CHI Health Good Samaritan Hospital, Kearney, NE, CCN 280009

Merit-based Incentive Payment System (MIPS)

Final score
83 of 100Reported as group
Quality
80
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NE100804NEMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Kearney Anesthesia Associates PC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2015 Accepting new patients
Lexington Regional Health Center CurrentSince Feb 13, 2018 Accepting new patients
Lexington Regional Health Center Current Accepting new patients
Lexington Regional Health Center Nurse Anesthetist, Certified Registered CurrentSince Feb 13, 2018 Accepting new patients

Locations

115 E 52nd St
Kearney, NE 68847
Phone (308) 236-5506

10 E 31st St
#H
Kearney, NE 68847
Phone (308) 865-7100

10 E 31st St
Kearney, NE 68847
Phone (308) 234-5520

1201 N Erie St
Lexington, NE 68850
Phone (308) 324-5651

Organizations & group practices 5

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 2

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": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478131200000",
    "number": "1215904057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E 52ND ST",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688470502",
            "telephone_number": "402-489-4186",
            "fax_number": "402-489-5279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E 52ND ST",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688470502",
            "telephone_number": "308-236-5506",
            "fax_number": "308-236-7089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAPER",
        "first_name": "KRISTINA",
        "middle_name": "E",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-01",
        "last_updated": "2016-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NE",
            "license": "NE100804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47068752601",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47061979815",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; 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.