Active NPI
Kyle Hardiman, CRNA
- Certified Registered Nurse Anesthetist
- Robinson, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 041-359377
- Practice address
- 1000 N Allen St
Robinson, IL 62454-1114 - Phone
- (618) 544-3131
- Fax
- (618) 546-2630
- NPI assigned
- May 23, 2012
- Last updated
- Jan 12, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 | 041-359377 | IL | Primary |
Addresses
Primary practice location
1000 N Allen St
Robinson, IL 62454-1114
Mailing address
1000 N Allen St
Robinson, IL 62454-1114
Phone (618) 544-3131
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 041-359377 | Other | IL | LICENSE NUMBER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kyle.hardiman@crawfordmh.cernerdirect.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
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
- Crawford Hospital District
Practice addresses (Care Compare)
1000 N Allen St
Robinson, IL 62454-1167
Phone (618) 544-3131
1000 N Allen St C
CMH Bone and Joint Center
Robinson, IL 62454-1167
Phone (618) 546-1294
1002 N Allen St B
Robinson, IL 62454-1167
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.05 of 100
- Quality
- 72.1
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041-359377 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crawford Hospital District | Current | Accepting new patients | |
| Crawford Hospital District | Current | Accepting new patients | |
| Crawford Hospital District | Current | Accepting new patients |
Locations
1000 N Allen St
Robinson, IL 62454
Phone (618) 544-3131
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Crawford Memorial Hospital and Health Services
- Critical Access Hospital
- Robinson, IL
- NPI 1265493720
-
dba Crawford Memorial Hospital
- Internal Medicine Physician
- Robinson, IL
- NPI 1861423287
-
dba CMH Specialty Clinic-Newton
- Urology Physician
- Newton, IL
- NPI 1265309405
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CMH Specialty Clinic-Newton
- Urology Physician
- Newton, IL
- NPI 1265309405
Hospital
-
dba Crawford Memorial Hospital and Health Services
- Critical Access Hospital
- Robinson, IL
- NPI 1265493720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705017600000",
"number": "1609136746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 N ALLEN ST",
"city": "ROBINSON",
"state": "IL",
"postal_code": "624541114",
"telephone_number": "618-544-3131",
"fax_number": "618-546-2630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 N ALLEN ST",
"city": "ROBINSON",
"state": "IL",
"postal_code": "624541114",
"telephone_number": "618-544-3131",
"fax_number": "618-546-2630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDIMAN",
"first_name": "KYLE",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-05-23",
"last_updated": "2024-01-12",
"certification_date": "2024-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "041-359377",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "041-359377",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kyle.hardiman@crawfordmh.cernerdirect.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1000 N Allen St",
"city": "Robinson",
"state": "IL",
"country_code": "US",
"postal_code": "624541114",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Robinson, IL
- Nedra K Guyer, LPTA
- Peggy Hamilton, RPTA
- Stephanie J Hanneman, LCPC
- Brandon Hardiman, PHARMD
- Jenna Nicole Hardiman, APN
- Harmon's Drug Store, Inc (Harmon's Drug Store Robinson)
- Courtney Ann Heller, PT
- Heritage Manor - Robinson, LLC (Heritage Health - Robinson)
- Heritage Manor - Robinson, LLC (Heritage Health)
- Shelly L Hillard, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.