Active NPI
Randy E Kilnoski, APRN
- Certified Registered Nurse Anesthetist
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 101525
- Practice address
- 7500 Mercy Rd Ste 1355
Omaha, NE 68124-2319 - Phone
- (402) 717-4866
- NPI assigned
- Nov 28, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 111032 | IA | |
| Certified Registered Nurse Anesthetist | 367500000X | D154760 | IA | |
| Certified Registered Nurse Anesthetist | 367500000X | 101525 | NE | Primary |
Addresses
Primary practice location
7500 Mercy Rd Ste 1355
Omaha, NE 68124-2319
Mailing address
7261 Mercy Rd
Omaha, NE 68124-2311
Other practice location 1
800 Mercy Dr
Council Bluffs, IA 51503-3128
Phone (402) 717-4866
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE, IA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Shelby County Chris a Myrtue Memorial HospitalSt Anthony Regional Hospital and Nursing Home
Practice addresses (Care Compare)
1213 Garfield Ave
Harlan, IA 51537-2057
Phone (712) 755-5161
311 S Clark St
Carroll, IA 51401-3038
Phone (712) 792-3581
Hospital & facility affiliations
- St Anthony Regional Hospital & Nursing Home
- Myrtue Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111032 | IA | MD | Registered Nurse |
| D154760 | IA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crawford County Memorial Hospital | Current | Accepting new patients | |
| Kbas LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Shelby County Chris a Myrtue Memorial Hospital | Current | Accepting new patients | |
| CHI Health Clinic Physician Enterprise-Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| CHI Health Clinic Physician Enterprise-Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Shelby County Chris a. Myrtue Memorial Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| St Anthony Regional Hospital and Nursing Home | Registered Nurse | Current | Accepting new patients |
| St Anthony Regional Hospital and Nursing Home | Current | Accepting new patients | |
| St Anthony Regional Hospital and Nursing Home | Current | Accepting new patients | |
| CHI Health Clinic Specialty, LLC | Past | Accepting new patients |
Locations
311 S Clark St
Carroll, IA 51401
Phone (712) 792-3581
800 Mercy Dr
Council Bluffs, IA 51503
Phone (712) 328-5000
100 Medical Pkwy
Denison, IA 51442
Phone (712) 265-2500
1213 Garfield Ave
Harlan, IA 51537
Phone (712) 755-4316
7500 Mercy Rd
Ste 1355
Omaha, NE 68124
Phone (402) 717-4866
6901 N 72nd St
Ste 22330
Omaha, NE 68122
Phone (402) 717-4673
7261 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6248
6901 N 72nd St
Omaha, NE 68122
Phone (402) 572-2121
16910 Marcy St
Ste 200
Omaha, NE 68118
Phone (402) 697-7200
8051 W Center Rd
Omaha, NE 68124
Phone (402) 391-3333
4353 Dodge St
Omaha, NE 68131
Phone (402) 502-5599
825 N 90th St
Omaha, NE 68114
Phone (402) 391-7246
Organizations & group practices 10
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.
-
- Anesthesiology Physician
- Omaha, NE
- NPI 1356858419
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Omaha, NE
- NPI 1225504020
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Council Bluffs, IA
- NPI 1639687114
Nurse Anesthetist, Certified Registered
-
- Critical Access Hospital
- Denison, IA
- NPI 1578555116
-
- Critical Access Hospital
- Harlan, IA
- NPI 1598871469
-
- Family Medicine Physician
- Harlan, IA
- NPI 1922184175
Nurse Anesthetist, Certified Registered
-
- Critical Access Hospital
- Carroll, IA
- NPI 1720067127
-
- Family Medicine Physician
- Carroll, IA
- NPI 1801815972
-
- Registered Nurse
- Carroll, IA
- NPI 1710062088
-
- Hospitalist Physician
- Lincoln, NE
- NPI 1285138065
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Harlan, IA
- NPI 1598871469
-
- Critical Access Hospital
- Carroll, IA
- NPI 1720067127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560384000000",
"number": "1669942074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7261 MERCY RD",
"city": "OMAHA",
"state": "NE",
"postal_code": "681242311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7500 MERCY RD STE 1355",
"city": "OMAHA",
"state": "NE",
"postal_code": "681242319",
"telephone_number": "402-717-4866"
}
],
"practiceLocations": [
{
"address_1": "800 Mercy Dr",
"address_purpose": "LOCATION",
"city": "Council Bluffs",
"state": "IA",
"postal_code": "515033128",
"country_code": "US",
"telephone_number": "402-717-4866",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KILNOSKI",
"first_name": "RANDY",
"middle_name": "E",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-11-28",
"last_updated": "2019-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IA",
"license": "111032",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IA",
"license": "D154760",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NE",
"license": "101525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.