Active NPI
Kevin Kimmins, CRNA
- Certified Registered Nurse Anesthetist
- Weirton, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 59986
- Practice address
- 601 Colliers Way
Weirton, WV 26062-5014 - Phone
- (304) 797-6000
- NPI assigned
- Feb 18, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 59986 | WV | Primary |
Addresses
Primary practice location
601 Colliers Way
Weirton, WV 26062-5014
Mailing address
601 Colliers Way
Weirton, WV 26062-5014
Phone (304) 797-6000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 550387249 | Other | TAX ID | |
| 38010004792 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, OH
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Medical Park
Wheeling, WV 26003-6379
Phone (304) 243-3343
68 State Route 7
Bridgeport, OH 43912-1642
Phone (740) 676-6600
Hospital & facility affiliations
- Wheeling Hospital, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- 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 |
|---|---|---|---|
| 59986 | WV | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reynolds Memorial Hospital, Inc | Current | Accepting new patients | |
| Wheeling Hospital Ambulatory Surgery Center LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Wheeling Hospital, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Weirton Medical Center | Past | Accepting new patients | |
| Weirton Medical Center, Inc | Past | Accepting new patients |
Locations
68 State Route 7
Bridgeport, OH 43912
Phone (740) 676-6600
800 Wheeling Ave
Glen Dale, WV 26038
Phone (304) 221-4520
1 Medical Park
Wheeling, WV 26003
Phone (304) 243-3124
109 Mount Wood Rd
#1
Wheeling, WV 26003
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/ea592379-b0ed-4cfa-aa0c-6e5256a40b54/
Organizations & group practices 6
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.
-
- Certified Registered Nurse Anesthetist
- Bridgeport, OH
- NPI 1851949465
Nurse Anesthetist, Certified Registered
-
- Family Medicine Physician
- Wheeling, WV
- NPI 1548923923
-
- Emergency Medical Services (Emergency Medicine) Physician
- Glen Dale, WV
- NPI 1518068014
-
- Anesthesiology Physician
- Wheeling, WV
- NPI 1922282581
Nurse Anesthetist, Certified Registered
-
- Psychiatric Hospital Unit
- Weirton, WV
- NPI 1093876187
-
- Skilled Nursing Facility
- Weirton, WV
- NPI 1962506212
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wheeling, WV
- NPI 1104821305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1376687764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 COLLIERS WAY",
"city": "WEIRTON",
"state": "WV",
"postal_code": "260625014",
"telephone_number": "304-797-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 COLLIERS WAY",
"city": "WEIRTON",
"state": "WV",
"postal_code": "260625014",
"telephone_number": "304-797-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIMMINS",
"first_name": "KEVIN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-18",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WV",
"license": "59986",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "550387249",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38010004792",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Weirton, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.