Active NPI
Kristin Nicole Wilmes
- Certified Registered Nurse Anesthetist
- Lebanon, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 083183-23
- Practice address
- 1 Medical Center Dr
Lebanon, NH 03756-0001 - Phone
- (603) 650-5000
- NPI assigned
- Apr 15, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 2010026705 | MO | |
| Certified Registered Nurse Anesthetist | 367500000X | 083183-23 | NH | Primary |
Addresses
Primary practice location
1 Medical Center Dr
Lebanon, NH 03756-0001
Mailing address
1520 Highway W
Foristell, MO 63348-1071
Other practice location 1
100 McGregor St
Manchester, NH 03102-3730
Phone (800) 437-9666
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Elliot Way
Manchester, NH 03103-3502
Phone (603) 663-2431
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2010026705 | MO | MD | Certified Registered Nurse Anesthetist |
| 083183-23 | NH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Care Group PC | Current | Accepting new patients | |
| Dartmouth-Hitchcock Clinic | Current | Accepting new patients | |
| Amoskeag Anesthesia, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Granite State Anesthesia Partners, LLC | Current | Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Current | Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Current | Accepting new patients | |
| Matrix Pathology and Laboratory Services PLLC | Current | Accepting new patients | |
| Dartmouth-Hitchcock Clinic | Current | Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Current | Accepting new patients | |
| Catholic Medical Center | Current | Accepting new patients |
Locations
1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922
100 McGregor St
Ste C234
Manchester, NH 03102
Phone (603) 663-6180
1 Elliot Way
Manchester, NH 03103
Phone (603) 663-2271
100 McGregor St
Manchester, NH 03102
Phone (603) 663-6931
185 Queen City Ave
Manchester, NH 03101
Phone (603) 314-6900
88 McGregor St
Ste 303
Manchester, NH 03102
Phone (603) 647-9325
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
- Manchester, NH
- NPI 1104883511
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Manchester, NH
- NPI 1629074224
-
- Anesthesiology Physician
- Manchester, NH
- NPI 1003692112
-
- Internal Medicine Physician
- Lebanon, NH
- NPI 1548210198
-
- Anesthesiology Physician
- Manchester, NH
- NPI 1821815010
-
- General Acute Care Hospital
- Lebanon, NH
- NPI 1023092053
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Lebanon, NH
- NPI 1124681846
-
- General Acute Care Hospital
- Lebanon, NH
- NPI 1629788237
-
- Psychiatric Hospital
- Hampstead, NH
- NPI 1699584219
-
- Anatomic Pathology & Clinical Pathology Physician
- Manchester, NH
- NPI 1083157341
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Manchester, NH
- NPI 1902996028
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734393600000",
"number": "1760001002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 HIGHWAY W",
"city": "FORISTELL",
"state": "MO",
"postal_code": "633481071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER DR",
"city": "LEBANON",
"state": "NH",
"postal_code": "037560001",
"telephone_number": "603-650-5000"
}
],
"practiceLocations": [
{
"address_1": "100 McGregor St",
"address_purpose": "LOCATION",
"city": "Manchester",
"state": "NH",
"postal_code": "031023730",
"country_code": "US",
"telephone_number": "800-437-9666",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILMES",
"first_name": "KRISTIN",
"middle_name": "NICOLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-15",
"last_updated": "2024-12-17",
"certification_date": "2024-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "2010026705",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NH",
"license": "083183-23",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.