Individual provider Active NPI

Debra L Kearney, CRNA

  • Certified Registered Nurse Anesthetist
  • Charleston, WV
National Provider Identifier
1689617979
Registry record updated Feb 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
48426 Issued in WV
Practice address
12 Villa Est
Charleston, WV 25311-9760
Phone
(304) 549-1238
NPI assigned
Jun 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2015

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 48426 WV Primary

Addresses

Primary practice location

12 Villa Est
Charleston, WV 25311-9760

Mailing address

12 Villa Est
Charleston, WV 25311-9760
Phone (304) 549-1238

Other identifiers 1

IdentifierTypeStateIssuer
0200409000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040312000879 WV Practitioner - Certified Registered Nurse Anesthetist (Crna) 0143119677 Reassigns benefits to 1 organization
I20161018001482 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0143119677 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Anesthesia PCGroup PAC ID 7416851597, 70 clinicians
Roanoke Valley Center for Sight, LLCGroup PAC ID 0345219085, 14 clinicians

Practice addresses (Care Compare)

1 Ahr Land
Low Moor, VA 24457-0001
Phone (540) 862-6011

438 W Main St
Salem, VA 24153-3610
Phone 54037852764606

Hospital & facility affiliations

  • Lewisgale Hospital Alleghany Hospital, Low Moor, VA, CCN 490126

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47228WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Roanoke Valley Center for Sight LLC CurrentSince Feb 1, 2026 Accepting new patients
Valley Anesthesia PC CurrentSince Nov 1, 2019 Accepting new patients
Roanoke Valley Center for Sight, LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2026 Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients
Day Surgery Limited Liability Past Accepting new patients

Locations

1 Arh Ln
Low Moor, VA 24457
Phone (540) 862-6223

433 Commonwealth Blvd E
Martinsville, VA 24112
Phone (276) 632-7207

2154 McVitty Rd SW
Ste 101
Roanoke, VA 24018
Phone (540) 378-5276

1900 Electric Rd
Salem, VA 24153
Phone (540) 772-3400

438 W Main St
Salem, VA 24153
Phone (540) 378-5276

470 Lithia Rd
#2
Wytheville, VA 24382

470 Lithia Rd
Wytheville, VA 24382
Phone (540) 378-5276

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424736000000",
    "number": "1689617979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 VILLA EST",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253119760",
            "telephone_number": "304-549-1238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 VILLA EST",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253119760",
            "telephone_number": "304-549-1238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEARNEY",
        "first_name": "DEBRA",
        "middle_name": "L",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2015-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WV",
            "license": "48426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0200409000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; 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.