Individual provider Active NPI

Kathleen Niederhelman, RN

  • Certified Registered Nurse Anesthetist
  • Elyria, OH
National Provider Identifier
1477554046
Registry record updated Feb 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
142717 Issued in OH
Practice address
860 E Broad St
Elyria, OH 44035-6542
Phone
(440) 323-8515
NPI assigned
Aug 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 142717 OH Primary

Addresses

Primary practice location

860 E Broad St
Elyria, OH 44035-6542

Mailing address

PO Box 35
Sandusky, OH 44871-0035
Phone (513) 532-5187

Other identifiers 2

IdentifierTypeStateIssuer
200457680MedicaidIN
2100345MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120501000755 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 2567624984 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
142717OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Anesthesia Limited, LLC CurrentSince Apr 28, 2016 Accepting new patients
Elyria Anesthesia Incorporated CurrentSince Feb 1, 2014 Accepting new patients
Anesthesia Group Practice, Inc Nurse Anesthetist, Certified Registered PastSince Oct 21, 2025 Accepting new patients
Physicians Anesthesia Service Inc Nurse Anesthetist, Certified Registered Past Accepting new patients
Southern Ohio Pathology Consultants Inc Past Accepting new patients

Locations

7580 Northcliff Ave
Ste 1000
Cleveland, OH 44144

860 E Broad St
Ste I
Elyria, OH 44035
Phone (440) 323-8458

3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520

850 Columbia Rd
Ste 200
Westlake, OH 44145

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393372800000",
    "number": "1477554046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448710035",
            "telephone_number": "513-532-5187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 E BROAD ST",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440356542",
            "telephone_number": "440-323-8515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEDERHELMAN",
        "first_name": "KATHLEEN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2014-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "142717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200457680",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2100345",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elyria, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; 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.