Kimberly Y Henderson, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

R874005 Issued in MS

Practice address

8080 E Central Ave
Ste 250
Wichita, KS 67206-2368

Phone

(316) 686-7327

Fax

(316) 686-1557

NPI assigned

Jan 15, 2013

Last updated

Jan 15, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

University of Miami, LM Miller School of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kansas Spine Anesthesia Corporation PAGroup PAC ID 1153586821, 56 clinicians

Anesthesia Consulting Services, PAGroup PAC ID 7214849710, 75 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kansas Surgery & Recovery Center Hospital, Wichita, KS, CCN 170183

Merit-based Incentive Payment System (MIPS)

Final score

87.27 of 100Reported as group

Quality

74.54

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Anesthesia Consulting Services, PA

  • Anesthesiology Physician
  • Wichita, KS
  • NPI 1518070416
  Medicare reassignment Care Compare group NPD
• Kansas Spine Anesthesia Corporation PA

  • Pain Medicine (Anesthesiology) Physician
  • Wichita, KS
  • NPI 1720345911

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Mid-Continent Anesthesiology Chartered

  • Anesthesiology Physician
  • Wichita, KS
  • NPI 1699750273
  Medicare reassignment NPD
• Wichita Ambulatory Anesthesia Providers LLC

  • Anesthesiology Physician
  • Wichita, KS
  • NPI 1649754789
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Kansas Surgery & Recovery Center LLC

  • General Acute Care Hospital
  • Wichita, KS
  • NPI 1306827878
  Care Compare affiliation

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358208000000",
    "number": "1558608117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8080 E CENTRAL AVE",
            "address_2": "STE 250",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062368",
            "telephone_number": "316-686-7327",
            "fax_number": "316-686-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 E CENTRAL AVE",
            "address_2": "STE 250",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062368",
            "telephone_number": "316-686-7327",
            "fax_number": "316-686-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "KIMBERLY",
        "middle_name": "Y",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-15",
        "last_updated": "2013-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MS",
            "license": "R874005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda S Hemmen, SLP
• Sheryl Rene Hemmen, M.D.
• Callie Henderson
• Grace Madison Henderson, LPC
• Keith T. Henderson
• Lauren Henderson
• Brenda Hendrick, DPT
• Raquel Yvonne Hendricks, LMSW
• Thomas Joseph Hendricks, MD
• Shelby Hendrickson, LCP

• Certified Registered Nurse Anesthetist in Wichita, KS
• Providers in Wichita, KS by specialty
• Certified Registered Nurse Anesthetist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.

Verify at the official NPI Registry.