Individual provider Active NPI

Kimberly Tanner Scholten, CRNA

  • Certified Registered Nurse Anesthetist
  • Pembroke Pines, FL
National Provider Identifier
1710018288
Registry record updated Dec 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN9225102 Issued in FL
Practice address
3645 NW 85TH Ter
Pembroke Pines, FL 33024-5101
Phone
(954) 980-5823
NPI assigned
Mar 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2013

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 RN9225102 FL Primary

Addresses

Primary practice location

3645 NW 85TH Ter
Pembroke Pines, FL 33024-5101

Mailing address

3645 NW 85TH Ter
Pembroke Pines, FL 33024-5101
Phone (954) 980-5823

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070928000049 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 1355436841 Reassigns benefits to 1 organization
I20200330002595 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 1355436841 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Care Services PAGroup PAC ID 7012937105, 54 clinicians

Practice addresses (Care Compare)

16817 Marvin Rd
Charlotte, NC 28277-2196
Phone (704) 275-3256

Merit-based Incentive Payment System (MIPS)

Final score
73.38 of 100Reported as group
Quality
77.5
Improvement activities
20

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6291NCMDClinical Psychologist
RN9225102FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Rowan Medical Center, LLC CurrentSince Jun 8, 2020 Accepting new patients
Anesthesia Associates of Greater Miami, PA CurrentSince Nov 17, 2008 Accepting new patients
NMG Southpark Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 11, 2020 Accepting new patients
Novant Health Rowan Medical Center LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 8, 2020 Accepting new patients
Anesthesiology Professional Services, Inc. CurrentSince Apr 16, 2013 Accepting new patients
Anesthesia Care Services, PA Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2020 Accepting new patients
Millennium Anesthesia PA Past Accepting new patients

Locations

460 Saint Charles Ct
Lake Mary, FL 32746
Phone (407) 585-0260

6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611

6110 SW 70th St
South Miami, FL 33143
Phone (305) 662-3100

240 Hospital Dr NE
Bolivia, NC 28422
Phone (336) 399-7678

6035 Fairview Rd
Charlotte, NC 28210
Phone (336) 718-2078

16817 Marvin Rd
Charlotte, NC 28277
Phone (704) 275-3256

2730 Georgia Rd
Franklin, NC 28734
Phone (828) 349-3636

612 Mocksville Ave
Salisbury, NC 28144
Phone (704) 210-5000

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387324800000",
    "number": "1710018288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3645 NW 85TH TER",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330245101",
            "telephone_number": "954-980-5823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3645 NW 85TH TER",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330245101",
            "telephone_number": "954-980-5823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOLTEN",
        "first_name": "KIMBERLY",
        "middle_name": "TANNER",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2013-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "RN9225102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; 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.