Individual provider Active NPI

Randy E Kilnoski, APRN

  • Certified Registered Nurse Anesthetist
  • Omaha, NE
National Provider Identifier
1669942074
Registry record updated Jun 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
101525 Issued in NE
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

Updated by the provider on Jun 13, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190508001343 NE Practitioner - Certified Registered Nurse Anesthetist (Crna) 3870835093 Reassigns benefits to 2 organizations
I20190620001463 IA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3870835093 Reassigns benefits to 6 organizations

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 HospitalGroup PAC ID 5193619393, shared by 12 NPIs, 49 clinicians
St Anthony Regional Hospital and Nursing HomeGroup PAC ID 4688586829, shared by 8 NPIs, 49 clinicians

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 Hospital, Carroll, IA, CCN 161382
  • Myrtue Medical Center Hospital, Harlan, IA, CCN 161374

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
111032IAMDRegistered Nurse
D154760IAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Crawford County Memorial Hospital Current Accepting new patients
Kbas LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 26, 2021 Accepting new patients
Shelby County Chris a Myrtue Memorial Hospital CurrentSince Dec 1, 2025 Accepting new patients
CHI Health Clinic Physician Enterprise-Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2019 Accepting new patients
CHI Health Clinic Physician Enterprise-Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2019 Accepting new patients
Shelby County Chris a. Myrtue Memorial Hospital Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2025 Accepting new patients
St Anthony Regional Hospital and Nursing Home Registered Nurse CurrentSince Mar 1, 2024 Accepting new patients
St Anthony Regional Hospital and Nursing Home CurrentSince Mar 1, 2024 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.

Hospital & facility affiliations 2

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": "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.

Verify at the official NPI Registry.