Active NPI
Kimberly Obereiner, CRNA
- Certified Registered Nurse Anesthetist
- Evanston, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 041408066
- Practice address
- 355 Ridge Ave
Evanston, IL 60202-3328 - Phone
- (847) 316-4000
- NPI assigned
- May 13, 2013
- Sex
- Female
- 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 | 041408066 | IL | Primary |
Addresses
Primary practice location
355 Ridge Ave
Evanston, IL 60202-3328
Mailing address
PO Box 570
Lake Forest, IL 60045-0570
Phone (847) 615-2200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
301 Hospital Dr
Glen Burnie, MD 21061-5803
Phone (410) 787-4000
9901 Medical Ctr Dr
Rockville, MD 20850-3357
Phone (240) 826-7324
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 63.85 of 100
- Quality
- 57.47
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041408066 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maryland Expresscare LLC | Current | Accepting new patients | |
| University of Maryland Medical System Corporation | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| First Colonies Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
851 Trafalgar Ct
Ste 200E
Maitland, FL 32751
Phone (321) 422-7155
22 S Greene St
Rm T1R77
Baltimore, MD 21201
22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793
301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565
9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000
11210 Old Georgetown Rd
#12202
Rockville, MD 20852
Phone (301) 881-7770
11210 Old Georgetown Rd
Rockville, MD 20852
Phone (301) 881-7770
8322 Bellona Ave
Ste 201
Towson, MD 21204
Phone (410) 337-2688
Interoperability endpoints
- kobereiner106515@direct.umm.edu
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Columbia, MD
- NPI 1740218767
DC, Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Baltimore, MD
- NPI 1508807355
Nurse Anesthetist, Certified Registered
-
- Land Ambulance
- Baltimore, MD
- NPI 1134835911
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Glen Burnie, MD
- NPI 1124016696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369180800000",
"number": "1497191829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 570",
"city": "LAKE FOREST",
"state": "IL",
"postal_code": "600450570",
"telephone_number": "847-615-2200",
"fax_number": "847-615-2858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 RIDGE AVE",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602023328",
"telephone_number": "847-316-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBEREINER",
"first_name": "KIMBERLY",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-13",
"last_updated": "2013-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "041408066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; 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.