Individual provider Active NPI

Richard A Kilgore, CRNA

  • Certified Registered Nurse Anesthetist
  • Britt, IA
National Provider Identifier
1457628869
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
557050 Issued in KS
Practice address
532 1St St NW
Britt, IA 50423-1227
Phone
(641) 843-5123
NPI assigned
Nov 30, 2011
Last updated
Mar 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 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 146695 MT
Certified Registered Nurse Anesthetist 367500000X 557050 KS Primary

Addresses

Primary practice location

532 1St St NW
Britt, IA 50423-1227

Mailing address

204 S 8TH St
Clear Lake, IA 50428-1910

Other practice location 1

308 N Maple Ave
New Hampton, IA 50659-1142
Phone (641) 394-4121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, IN, MT, IA, MN5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20120201000116 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 7113184292 Reassigns benefits to 2 organizations
I20190307002233 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 7113184292 Reassigns benefits to 1 organization
I20200519000185 MT Practitioner - Certified Registered Nurse Anesthetist (Crna) 7113184292 Reassigns benefits to 1 organization
I20201002000194 IA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7113184292 Reassigns benefits to 4 organizations
I20220722000242 MN Practitioner - Certified Registered Nurse Anesthetist (Crna) 7113184292 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
2720MNMDProfessional Counselor
557050KSMDCertified Registered Nurse Anesthetist
146695MTMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Kiowa County Memorial Hospital CurrentSince May 1, 2024 Accepting new patients
St Lukes Community Hospital CurrentSince Apr 13, 2020 Accepting new patients
Humboldt County Memorial Hospital Current Accepting new patients
St. Lukes Community Hospital Current Accepting new patients
Pocahontas Community Hospital CurrentSince Aug 6, 2025 Accepting new patients
St Lukes Community Hospital Nurse Anesthetist, Certified Registered CurrentSince Apr 13, 2020 Accepting new patients
Pocahontas Community Hospital CurrentSince Aug 6, 2025 Accepting new patients
Center for Anesthesia Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 3, 2022 Accepting new patients
Mercy Medical Center New Hampton Current Accepting new patients
Kiowa County Memorial Hospital Current Accepting new patients
Clinical Colleagues LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 29, 2019 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients

Locations

1000 15th St N
Humboldt, IA 50548
Phone (515) 332-4200

308 N Maple Ave
New Hampton, IA 50659
Phone (641) 394-2151

606 NW 7th St
Pocahontas, IA 50574
Phone (712) 335-3501

1260 E State Road 205
Columbia City, IN 46725
Phone (260) 248-9000

401 N Sawyer Rd
Kendallville, IN 46755
Phone (260) 347-1100

207 N Townline Rd
Lagrange, IN 46761
Phone (260) 266-5300

721 W Kansas Ave
Greensburg, KS 67054
Phone (620) 723-2127

717 S State St
Ste 100
Fairmont, MN 56031
Phone (507) 235-3939

717 S State St
Ste 1000
Fairmont, MN 56031
Phone (507) 235-3939

400 10th St E
Waconia, MN 55387

107 6th Ave SW
Ronan, MT 59864
Phone (406) 676-3600

9 Northeastern Blvd
Ste 400
Salem, NH 03079

Interoperability endpoints

  • Direct secure messaging: rkilgore4054831@direct.trinity-health.org

Organizations & group practices 12

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1457628869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 S 8TH ST",
            "city": "CLEAR LAKE",
            "state": "IA",
            "postal_code": "504281910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 1ST ST NW",
            "city": "BRITT",
            "state": "IA",
            "postal_code": "504231227",
            "telephone_number": "641-843-5123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "308 N Maple Ave",
            "address_purpose": "LOCATION",
            "city": "New Hampton",
            "state": "IA",
            "postal_code": "506591142",
            "country_code": "US",
            "telephone_number": "641-394-4121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KILGORE",
        "first_name": "RICHARD",
        "middle_name": "A",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-30",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MT",
            "license": "146695",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "557050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Britt, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.