Active NPI
Karen Hitesman, CRNA
- Certified Registered Nurse Anesthetist
- Salem, VA
National Provider Identifier
1669413746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 0024158114
- Practice address
- 1970 Roanoke Blvd
Salem, VA 24153 - Phone
- (540) 982-2463
- NPI assigned
- Jun 9, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 050003-23-11 | NH | |
| Certified Registered Nurse Anesthetist | 367500000X | 0024158114 | VA | Primary |
Addresses
Primary practice location
1970 Roanoke Blvd
Salem, VA 24153
Mailing address
1970 Roanoke Blvd
Salem, VA 24153-6404
Phone (540) 982-2463
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1008972 | Medicaid | VT | |
| 59020 | Other | VT | BLUE CROSS BLUE SHIELD |
| 40Y003915NH01 | Other | NH | BLUE CROSS BLUE SHIELD |
| 5414112 | Other | NH | CIGNA HEALTHCARE |
| S43604 | Other | NH | HARVARD PILGRIM HEALTHCAR |
| 80300008 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 76.47 of 100
- Quality
- 52.93
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024158114 | VA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Anesthesia Services LLC | Current | Accepting new patients | |
| Pineville Community Hospital Association, Inc. | Past | Accepting new patients | |
| Radiology Inc | Past | Accepting new patients | |
| Pineville Community Hospital Association, Inc. | Past | Accepting new patients | |
| Definitive Medical Solutions, PSC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700
1806 Summit Ave
Ste 300
Richmond, VA 23230
Phone (804) 315-3771
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Richmond, VA
- NPI 1881205144
-
- Anesthesiology Physician
- Corbin, KY
- NPI 1831207067
Nurse Anesthetist, Certified Registered
-
- Skilled Nursing Facility
- Pineville, KY
- NPI 1447272216
-
dba PCH Swing Beds
- Medicare Defined Swing Bed Hospital Unit
- Pineville, KY
- NPI 1861843401
-
- Diagnostic Radiology Physician
- Huntington, WV
- NPI 1457339277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320192000000",
"number": "1669413746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1970 ROANOKE BLVD",
"city": "SALEM",
"state": "VA",
"postal_code": "241536404",
"telephone_number": "540-982-2463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1970 ROANOKE BLVD",
"city": "SALEM",
"state": "VA",
"postal_code": "24153",
"telephone_number": "540-982-2463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HITESMAN",
"first_name": "KAREN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-09",
"last_updated": "2011-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NH",
"license": "050003-23-11",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0024158114",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1008972",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "59020",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "40Y003915NH01",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTHCARE",
"identifier": "5414112",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTHCAR",
"identifier": "S43604",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "80300008",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salem, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; 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.