Kimberly Jean Bibb, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Fort Wayne, IN
NPI 1609935568 · NPPES record last updated Aug 7, 2026
Key facts
- NPI
- 1609935568
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 28292555A (IN)
- Practice address
- 6435 W Jefferson Blvd # 434
Fort Wayne, IN 46804-6203 - Phone
- (260) 436-7875
- Fax
- (260) 432-9812
- NPI assigned
- Dec 7, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 25
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Apollo Medical Group of Jeffersonville LLC
University of Kentucky
Covenant Anesthesia Group PC
Practice addresses (Care Compare)
400 Corporate Dr
Suite 100
Jeffersonville, IN 47130-1502
Phone (812) 925-1051
800 Rose St
Lexington, KY 40536-7001
Phone (859) 257-1000
9352 Park W Blvd
Knoxville, TN 37923-4325
Phone (865) 373-1000
990 Oak Ridge Tpke
Oak Ridge, TN 37830-6976
Phone (865) 835-3560
Hospital & facility affiliations
- University of Kentucky Hospital
- Parkwest Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.96 of 100
- Quality
- 56.12
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.73
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in KY, IN, TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070531000563 | KY | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 1052419934 | Reassigns benefits to 3 organizations |
| I20250616002982 | IN | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 1052419934 | Reassigns benefits to 1 organization |
| I20251119000633 | TN | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 1052419934 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1074359 | KY | MD | Registered Nurse |
| 39456 | TN | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| 3005106 | KY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Louisville Physicians, Inc. | Current |
Accepting new patients | |
| University of Louisville Physicians, Inc. | Current |
Accepting new patients | |
| Covenant Anesthesia Group, PC | Current |
Accepting new patients | |
| Professional Anesthesia Services of Kentucky PLLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| University of Kentucky | Current |
Accepting new patients | |
| Anesthesia Associates of Louisville, PSC | Past | Accepting new patients | |
| Anesthesiology Associates PSC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Associated Anesthesiologists of Fort Wayne PC | Nurse Anesthetist, Certified Registered | Past |
Accepting new patients |
Locations
7752 Solution Ctr
Chicago, IL 60677
1850 State St
New Albany, IN 47150
Phone (812) 944-7701
800 Rose St
Lexington, KY 40536
Phone (859) 257-8562
200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000
530 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000
571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700
4000 Kresge Way
St Matthews, KY 40207
Phone (502) 459-7902
Dept 888089
Knoxville, TN 37995
990 Oak Ridge Tpke
Oak Ridge, TN 37830
Phone (865) 481-1000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 3005106 | KY | |
| Registered Nurse | 163W00000X | 1074359 | KY | |
| Certified Registered Nurse Anesthetist | 367500000X | 28292555A | IN | Yes |
Addresses
Primary practice location
6435 W Jefferson Blvd # 434
Fort Wayne, IN 46804-6203
Mailing address
PO Box 843603
Dallas, TX 75284-0001
Phone (972) 233-1999
Other practice location 1
530 S Jackson St
Louisville, KY 40202-1675
Phone (502) 852-5851
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200873910 | Medicaid | KY | |
| 7100021950 | Medicaid | KY |
Other providers in Fort Wayne, IN
- Bhi Home Care, Inc.
- Bhi Senior Living, Inc.
- Naren Bhupatiraju
- Tiane Bianski
- Yejee Biazo
- Syniya Bibbs
- Bryce Chandler Biberstein
- Maegan Biberstine
- Evangelos J. Bibidakis
- Christopher L Bible
All providers in Fort Wayne, IN · Certified Registered Nurse Anesthetist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.