Individual provider Active NPI

Kimberlee Hunsaker, CRNA

  • Certified Registered Nurse Anesthetist
  • Bangor, ME
National Provider Identifier
1396076048
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AA093047 Issued in ME
Practice address
489 State St
Bangor, ME 04401-6616
Phone
(207) 973-4519
Fax
(207) 992-4132
NPI assigned
Jan 20, 2010
Last updated
Sep 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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 14815 WI
Certified Registered Nurse Anesthetist 367500000X AA093047 ME Primary

Addresses

Primary practice location

489 State St
Bangor, ME 04401-6616

Mailing address

489 State St
Bangor, ME 04401-6616
Phone (207) 973-4519

Other practice location 1

5000 Memorial Dr
Two Rivers, WI 54241-3900
Phone (920) 794-5000

Other identifiers 1

IdentifierTypeStateIssuer
100238732MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, MI, WI3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20221129002316 WA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3971638040 Reassigns benefits to 2 organizations
I20230519002472 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 3971638040 Reassigns benefits to 2 organizations
I20240325003001 WI Practitioner - Certified Registered Nurse Anesthetist (Crna) 3971638040 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastrointestinal Associates S.C.Group PAC ID 4385677814, 42 clinicians

Practice addresses (Care Compare)

411 Westwood Dr
Wausau, WI 54401-4152
Phone (715) 847-2558

N10561 Grandview LN
Ironwood, MI 49938-9622
Phone (906) 932-2525

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AA093047MEMDCertified Registered Nurse Anesthetist
14815WIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2022 Accepting new patients
The Howard Young Medical Center, Inc. CurrentSince May 1, 2024 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince May 1, 2024 Accepting new patients
The Howard Young Medical Center, Inc. Current Accepting new patients
The Howard Young Medical Center, Inc. Nurse Anesthetist, Certified Registered CurrentSince May 1, 2024 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Aug 17, 2024 Accepting new patients
Aurora Medical Group, Inc. Nurse Anesthetist, Certified Registered Current Accepting new patients
Memorial Medical Center Inc CurrentSince May 1, 2025 Accepting new patients
Gastrointestinal Associates Endoscopy Center, LLC CurrentSince Apr 5, 2024 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc CurrentSince May 1, 2024 Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. CurrentSince Jun 1, 2023 Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. CurrentSince Jun 1, 2023 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Aug 17, 2024 Accepting new patients
Gastrointestinal Associates S.C. CurrentSince Apr 5, 2024 Accepting new patients
Memorial Medical Center Inc CurrentSince May 1, 2025 Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. Current Accepting new patients
Penobscot Valley Hospital Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

N10565 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500

21600 Highway 99
Ste 260
Edmonds, WA 98026
Phone (425) 774-2650

11800 NE 128th St
Ste 100
Kirkland, WA 98034
Phone (425) 899-4500

501 N 34th St
Ste 101
Seattle, WA 98103
Phone (206) 838-1777

1615 Maple Ln
Ashland, WI 54806
Phone (715) 682-4563

400 W Glen St
Crandon, WI 54520
Phone (715) 478-3318

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074

3225 Business Park Dr
Stevens Point, WI 54482
Phone (715) 847-2558

401 W Mohawk Dr
Ste 100
Tomahawk, WI 54487
Phone (715) 453-7700

5000 Memorial Dr
Two Rivers, WI 54241
Phone (920) 794-5000

411 Westwood Dr
Wausau, WI 54401
Phone (715) 479-0374

240 Maple St
Woodruff, WI 54568
Phone (715) 356-8000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5664/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-usa.unify.chbase.com/org/penob-eadbba22
  • Direct secure messaging: khunsaker51923@direct.slhs.org

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 6

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": "1263945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1396076048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489 STATE ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016616",
            "telephone_number": "207-973-4519",
            "fax_number": "207-992-4132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 STATE ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016616",
            "telephone_number": "207-973-4519",
            "fax_number": "207-992-4132"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5000 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Two Rivers",
            "state": "WI",
            "postal_code": "542413900",
            "country_code": "US",
            "telephone_number": "920-794-5000",
            "fax_number": "920-794-5382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUNSAKER",
        "first_name": "KIMBERLEE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-20",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WI",
            "license": "14815",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ME",
            "license": "AA093047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100238732",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.