Active NPI
Brett Kinder
- Certified Registered Nurse Anesthetist
- Mattoon, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209.024656
- Practice address
- 1000 Health Center Dr
Mattoon, IL 61938-4644 - Phone
- (217) 258-2440
- Fax
- (217) 258-2186
- NPI assigned
- Aug 4, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 234503 | TN | |
| Certified Registered Nurse Anesthetist | 367500000X | 209.024656 | IL | Primary |
Addresses
Primary practice location
1000 Health Center Dr
Mattoon, IL 61938-4644
Mailing address
100 Spade Leaf Blvd Apt J304
Hendersonville, TN 37075-4768
Other practice location 1
503 N Maple St
Effingham, IL 62401-2006
Phone (217) 342-2121
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Health Ctr Dr
Mattoon, IL 61938-4644
Phone (217) 258-2525
Hospital & facility affiliations
- Sarah Bush Lincoln Health Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.96 of 100
- Quality
- 69.5
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 234503 | TN | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sarah Bush Lincoln Health Center | Current | Accepting new patients | |
| Sarah Bush Lincoln Health Center | Current | Accepting new patients |
Locations
503 N Maple St
Effingham, IL 62401
Phone (217) 342-2121
1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389
101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Mattoon, IL
- NPI 1669564662
-
- Rural Health Clinic/Center
- Greenville, IL
- NPI 1811858970
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mattoon, IL
- NPI 1669564662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653523200000",
"number": "1285308171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 SPADE LEAF BLVD APT J304",
"city": "HENDERSONVILLE",
"state": "TN",
"postal_code": "370754768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 HEALTH CENTER DR",
"city": "MATTOON",
"state": "IL",
"postal_code": "619384644",
"telephone_number": "217-258-2440",
"fax_number": "217-258-2186"
}
],
"practiceLocations": [
{
"address_1": "503 N Maple St",
"address_purpose": "LOCATION",
"city": "Effingham",
"state": "IL",
"postal_code": "624012006",
"country_code": "US",
"telephone_number": "217-342-2121",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KINDER",
"first_name": "BRETT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-04",
"last_updated": "2022-05-26",
"certification_date": "2022-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "234503",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209.024656",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mattoon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; 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.