Individual provider Active NPI

Kellie Sue Schmiade, CRNA

  • Certified Registered Nurse Anesthetist
  • Cincinnati, OH
National Provider Identifier
1619489713
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1132703 Issued in KY
Practice address
4030 Smith Rd Ste 325
Cincinnati, OH 45209
Phone
(513) 817-1150
NPI assigned
Oct 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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 1132703 KY Primary

Addresses

Primary practice location

4030 Smith Rd Ste 325
Cincinnati, OH 45209

Mailing address

4030 Smith Rd Ste 325
Cincinnati, OH 45209-1937
Phone (513) 817-1150

Other practice location 1

13011 Farmview Dr
Independence, KY 41051-7717
Phone (859) 991-9996

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180223000786 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 1052672615 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Group Practice IncGroup PAC ID 1254245137, 396 clinicians

Practice addresses (Care Compare)

1 Medical Village Dr
Edgewood, KY 41017-3403
Phone (859) 301-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Group Practice, Inc Nurse Anesthetist, Certified Registered CurrentSince Jan 21, 2018 Accepting new patients
Trihealth G LLC Past Accepting new patients

Locations

2845 Chancellor Dr
Ste 100
Crestview Hills, KY 41017

340 Thomas More Pkwy
Ste 220
Crestview Hills, KY 41017
Phone (859) 301-2211

1 Medical Village Dr
Edgewood, KY 41017
Phone (859) 301-2000

580 S Loop Rd
Ste 100
Edgewood, KY 41017

4900 Houston Rd
Florence, KY 41042
Phone (859) 212-5200

7575 US Highway 42
Florence, KY 41042
Phone (606) 283-9100

85 N Grand Ave
Fort Thomas, KY 41075
Phone (859) 572-3100

4030 Smith Rd
Ste 325
Cincinnati, OH 45209
Phone (513) 817-1150

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1619489713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 SMITH RD STE 325",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452091937",
            "telephone_number": "513-817-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 SMITH RD STE 325",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45209",
            "telephone_number": "513-817-1150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13011 Farmview Dr",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "KY",
            "postal_code": "410517717",
            "country_code": "US",
            "telephone_number": "859-991-9996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHMIADE",
        "first_name": "KELLIE",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-30",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "1132703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.

Verify at the official NPI Registry.