Individual provider Active NPI

Kristina Marie Koble, RN

  • Certified Registered Nurse Anesthetist
  • Wilkes Barre, PA
National Provider Identifier
1356079925
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN662282 Issued in PA
Practice address
575 N River St
Wilkes Barre, PA 18702-2634
Phone
(570) 829-8111
NPI assigned
Aug 11, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 139687 PA
Critical Care Medicine Registered Nurse 163WC0200X RN662282 PA
Certified Registered Nurse Anesthetist 367500000X RN662282 PA Primary

Addresses

Primary practice location

575 N River St
Wilkes Barre, PA 18702-2634

Mailing address

36 River Rd
White Haven, PA 18661-4087

Other practice location 1

111 S Front St
Harrisburg, PA 17101-2010
Phone (717) 872-5118

Other practice location 2

300 Highland Ave
Hanover, PA 17331-2297
Phone (717) 316-3711

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kkoble252034@phsdirect.pinnaclehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NC, IL, CA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20221125000119 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0244608198 Reassigns benefits to 3 organizations
I20230209003115 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 0244608198 Reassigns benefits to 2 organizations
I20230511002872 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 0244608198 Reassigns benefits to 2 organizations
I20230815001503 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0244608198

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North American Partners in Anesthesia, Pennsylvania , LLCGroup PAC ID 7517960834, 302 clinicians
CHS Anesthesia Services Group IncGroup PAC ID 5799007324, 742 clinicians

Practice addresses (Care Compare)

111 S Front St
Harrisburg, PA 17101-2010
Phone (717) 782-3282

8800 N Tryon St
Charlotte, NC 28262-3300
Phone (704) 863-6000

920 Church St N
Concord, NC 28025-2927
Phone (704) 403-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7049NCMDDentist
139687PAMDCertified Registered Nurse Anesthetist
RN662282PAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
CHS Anesthesia Services Group Inc CurrentSince Jun 10, 2025 Accepting new patients
Upmc Pinnacle Anesthesia Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 31, 2024 Accepting new patients
North American Partners in Anesthesia, Pennsylvania , LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 3, 2023 Accepting new patients
Chatham Hospital, Inc. CurrentSince Jan 3, 2023 Accepting new patients
Upmc Pinnacle Anesthesia Services, LLC CurrentSince Jan 31, 2024 Accepting new patients
360 Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2022 Accepting new patients
G & G Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2023 Accepting new patients

Locations

820 E Mountain View St
Barstow, CA 92311
Phone (760) 256-1761

1 Saint Anthonys Way
Alton, IL 62002
Phone (618) 233-6870

3 Erie Ct
Oak Park, IL 60302
Phone (708) 763-6200

5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533

475 Progress Blvd
Siler City, NC 27344
Phone (919) 799-4000

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

111 S Front St
Harrisburg, PA 17101
Phone (717) 782-3282

8835 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8227

575 N River St
Wilkes Barre, PA 18764
Phone (570) 552-1300

Organizations & group practices 7

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 11

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": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1356079925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 RIVER RD",
            "city": "WHITE HAVEN",
            "state": "PA",
            "postal_code": "186614087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 N RIVER ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187022634",
            "telephone_number": "570-829-8111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 S Front St",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171012010",
            "country_code": "US",
            "telephone_number": "717-872-5118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Hanover",
            "state": "PA",
            "postal_code": "173312297",
            "country_code": "US",
            "telephone_number": "717-316-3711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOBLE",
        "first_name": "KRISTINA",
        "middle_name": "MARIE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-11",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "139687",
            "primary": false
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "PA",
            "license": "RN662282",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN662282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kkoble252034@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "111 S Front St",
            "city": "Harrisburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "171012010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilkes Barre, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; 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.