Individual provider Active NPI

Kip Edward Wharton, CRNA

  • Certified Registered Nurse Anesthetist
  • Bethesda, MD
National Provider Identifier
1720613359
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0024180013 Issued in VA
Practice address
8901 Rockville Pike Bethesda MD 20889
Bethesda, MD 20889-0001
Phone
(302) 542-7345
NPI assigned
Mar 4, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 0024180013 VA Primary
Certified Registered Nurse Anesthetist 367500000X AC005410 MD

Addresses

Primary practice location

8901 Rockville Pike Bethesda MD 20889
Bethesda, MD 20889-0001

Mailing address

15478 Waters Creek Dr
Centreville, VA 20120-1164
Phone (302) 542-7345

Other practice location 1

200 Memorial Dr
Luray, VA 22835-1000
Phone (540) 743-4561

Other practice location 2

759 S Main St
Woodstock, VA 22664-1154
Phone (540) 459-4110

Other practice location 3

1000 N Shenandoah Ave
Front Royal, VA 22630-3598
Phone (540) 635-0219

Other practice location 4

1860 Amherst St
Winchester, VA 22601-2808
Phone (540) 536-8000

Other practice location 5

874 Fox Dr
Winchester, VA 22603-8613
Phone (540) 662-8336 ext. 14

Electronic endpoints 5

TypeEndpointUseAffiliation
Direct Messaging Address kwharton724356@soc.inova.org
Direct Messaging Address kwharton724356@soc.inova.org
Direct Messaging Address kwharton724356@soc.inova.org
Direct Messaging Address kwharton724356@soc.inova.org
Direct Messaging Address kwharton724356@soc.inova.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201105001686 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 9032529896 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Wake Forest University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Health Anesthesia Services, LLCGroup PAC ID 3678002565, 124 clinicians

Practice addresses (Care Compare)

1840 Amherst St
Winchester, VA 22601-2808
Phone (540) 536-8000

Hospital & facility affiliations

  • Winchester Medical Center Hospital, Winchester, VA, CCN 490005

Merit-based Incentive Payment System (MIPS)

Final score
84.14 of 100Reported as group
Quality
83.98
Improvement activities
40
Cost
76.51

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AC005410MDMDCertified Registered Nurse Anesthetist
0024180013VAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Winchester Anesthesiologists Inc CurrentSince Jun 1, 2022 Accepting new patients
Winchester Medical Center CurrentSince Sep 22, 2020 Accepting new patients
Shenandoah Valley Pathology Laboratories Inc Current Accepting new patients
Valley Health Anesthesia Services, LLC CurrentSince Jan 1, 2025 Accepting new patients
Winchester Medical Center Nurse Anesthetist, Certified Registered CurrentSince Sep 22, 2020 Accepting new patients
Winchester Medical Center Current Accepting new patients
Winchester Medical Center Current Accepting new patients
Shenandoah Memorial Hospital, Inc. PastSince Mar 1, 2020 Accepting new patients

Locations

1000 N Shenandoah Ave
Front Royal, VA 22630
Phone (540) 636-0300

200 Memorial Dr
Luray, VA 22835
Phone (540) 743-4561

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

874 Fox Dr
Winchester, VA 22603
Phone (540) 662-0990

1860 Amherst St
Winchester, VA 22601
Phone (540) 536-7870

759 S Main St
Woodstock, VA 22664
Phone (540) 459-1100

Interoperability endpoints

  • Direct secure messaging: kwharton724356@soc.inova.org

Organizations & group practices 8

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": "1583280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1720613359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15478 WATERS CREEK DR",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201201164",
            "telephone_number": "302-542-7345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 ROCKVILLE PIKE BETHESDA MD 20889",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208890001",
            "telephone_number": "302-542-7345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Luray",
            "state": "VA",
            "postal_code": "228351000",
            "country_code": "US",
            "telephone_number": "540-743-4561",
            "fax_number": "540-743-9560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "759 S Main St",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "VA",
            "postal_code": "226641154",
            "country_code": "US",
            "telephone_number": "540-459-4110",
            "fax_number": "540-459-1121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 N Shenandoah Ave",
            "address_purpose": "LOCATION",
            "city": "Front Royal",
            "state": "VA",
            "postal_code": "226303598",
            "country_code": "US",
            "telephone_number": "540-635-0219",
            "fax_number": "540-635-0427",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1860 Amherst St",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226012808",
            "country_code": "US",
            "telephone_number": "540-536-8000",
            "fax_number": "540-536-7780",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "874 Fox Dr",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226038613",
            "country_code": "US",
            "telephone_number": "540-662-8336 x14",
            "fax_number": "540-662-8593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHARTON",
        "first_name": "KIP",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-04",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024180013",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "AC005410",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kwharton724356@soc.inova.org",
            "affiliation": "N",
            "address_1": "1000 N Shenandoah Ave",
            "city": "Front Royal",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226303598",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kwharton724356@soc.inova.org",
            "affiliation": "N",
            "address_1": "1860 Amherst St",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226012808",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kwharton724356@soc.inova.org",
            "affiliation": "N",
            "address_1": "200 Memorial Dr",
            "city": "Luray",
            "state": "VA",
            "country_code": "US",
            "postal_code": "228351000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kwharton724356@soc.inova.org",
            "affiliation": "N",
            "address_1": "1840 Amherst St",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226012808",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kwharton724356@soc.inova.org",
            "affiliation": "N",
            "address_1": "759 S Main St",
            "city": "Woodstock",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226641154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; 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.