Individual provider Active NPI

Kimberly J Kurtz, CRNA

  • Certified Registered Nurse Anesthetist
  • La Crosse, WI
National Provider Identifier
1770568222
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
048024 Issued in WI
Practice address
1836 South Ave
La Crosse, WI 54601-5429
Phone
(608) 782-7300
NPI assigned
Dec 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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 048024 WI Primary

Addresses

Primary practice location

1836 South Ave
La Crosse, WI 54601-5429

Mailing address

1836 South Ave
La Crosse, WI 54601-5429
Phone (608) 782-7300

Other practice location 1

1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511

Other identifiers 5

IdentifierTypeStateIssuer
1009390OtherWIPHYS PLUS PROV #
43409200MedicaidWI
P00139653OtherWIRAILROAD MEDICARE PROV #
391023846OtherWICOMMERCIAL INS PROV #
551896OtherWIDEANCARE PROV #

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kkurtz10406@direct.monroeclinic.org Direct Tomah Memorial Hospital Inc

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040810000028 WI Practitioner - Certified Registered Nurse Anesthetist (Crna) 7315934080 Reassigns benefits to 14 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mile Bluff Medical Center IncGroup PAC ID 8527971399, 87 clinicians
Moundview Memorial Hospital and Clinics, Inc.Group PAC ID 1355250432, 50 clinicians

Practice addresses (Care Compare)

1050 Division St
Mauston, WI 53948-1931
Phone (608) 847-9779

402 W Lake St
Friendship, WI 53934-9699
Phone (608) 339-3331

Hospital & facility affiliations

  • Mile Bluff Medical Center Hospital, Mauston, WI, CCN 520109

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43024KYMDObstetrics & Gynecology Physician
048024WIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Mar 7, 2022 Accepting new patients
St. Joseph'S Health Services, Inc. CurrentSince May 6, 2017 Accepting new patients
Tri-County Memorial Hospital, Inc. CurrentSince Nov 11, 2025 Accepting new patients
Polykarpos Anesthesia LLC CurrentSince Feb 17, 2022 Accepting new patients
Mile Bluff Medical Center Inc Nurse Anesthetist, Certified Registered CurrentSince Jun 16, 2024 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Mar 7, 2022 Accepting new patients
Divine Savior Healthcare, Inc. CurrentSince Aug 1, 2016 Accepting new patients
Tomah Memorial Hospital Inc CurrentSince Oct 1, 2016 Accepting new patients
Marshfield Clinic Inc CurrentSince Mar 7, 2022 Accepting new patients
Moundview Memorial Hospital & Clinics, Inc CurrentSince Mar 7, 2022 Accepting new patients
MCHS Hospitals Inc CurrentSince Mar 7, 2022 Accepting new patients
Prairie Du Chien Memorial Hospital Association Inc CurrentSince Jan 2, 2010 Accepting new patients
MCHS Hospitals Inc CurrentSince Mar 7, 2022 Accepting new patients
Mile Bluff Medical Center Inc CurrentSince Jun 16, 2024 Accepting new patients
Prairie Du Chien Memorial Hospital Assoc Inc CurrentSince Jan 2, 2010 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince May 26, 2021 Accepting new patients
Moundview Memorial Hospital & Clinics, Inc. CurrentSince Mar 7, 2022 Accepting new patients
Tomah Memorial Hospital Inc CurrentSince Oct 1, 2016 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince May 26, 2021 Accepting new patients
St. Joseph'S Health Services, Inc. Current Accepting new patients
Tri-County Memorial Hospital, Inc. CurrentSince Nov 11, 2025 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Divine Savior Healthcare, Inc. CurrentSince Aug 1, 2016 Accepting new patients
Tri-County Memorial Hospital, Inc. CurrentSince Jan 14, 2026 Accepting new patients
St. Joseph'S Health Services, Inc. CurrentSince May 6, 2017 Accepting new patients
Appalachian Regional Healthcare, Inc. Past Accepting new patients
Taylor County Anesthesia PSC Nurse Anesthetist, Certified Registered Past Accepting new patients
Southern Perioperative Services P C Past Accepting new patients
SSM Healthcare of Wi Inc Past Accepting new patients
SSM Health Care of Wisconsin Inc Past Accepting new patients
SSM Health Treatment and Recovery Center Past Accepting new patients
SSM Health Care of Wisconsin Inc Nurse Anesthetist, Certified Registered Past Accepting new patients
Mile Bluff Medical Center Inc Nurse Anesthetist, Certified Registered Past Accepting new patients
SSM Health Care of Wisconsin, Inc. Past Accepting new patients
SSM Healthcare of Wi Inc Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

921 Sherwood Dr
Lake Bluff, IL 60044
Phone (847) 691-9080

205 Parker St
Boscobel, WI 53805
Phone (608) 375-4112

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

402 W Lake St
Friendship, WI 53934
Phone (608) 339-3331

1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102

1000 W 11th St
Marshfield, WI 54449
Phone (715) 387-7267

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1050 Division St
Mauston, WI 53948
Phone (608) 847-6161

8400 Lakeview Pkwy
Pleasant Prairie, WI 53158
Phone (262) 697-7295

8400 Lakeview Pkwy
Ste 800
Pleasant Prairie, WI 53158
Phone (262) 455-7548

2817 New Pinery Rd
Portage, WI 53901
Phone (608) 745-4598

37868 US Highway 18
Prairie du Chien, WI 53821
Phone (608) 357-2000

1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133

900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500

501 Gopher Dr
Tomah, WI 54660
Phone (608) 371-2181

18601 Lincoln St
Whitehall, WI 54773
Phone (715) 538-1712

Organizations & group practices 36

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.

View all 36

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": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1770568222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 SOUTH AVE",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546015429",
            "telephone_number": "608-782-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1836 SOUTH AVE",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546015429",
            "telephone_number": "608-782-7300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 N Oak Ave",
            "address_purpose": "LOCATION",
            "city": "Marshfield",
            "state": "WI",
            "postal_code": "544495703",
            "country_code": "US",
            "telephone_number": "715-387-5511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KURTZ",
        "first_name": "KIMBERLY",
        "middle_name": "J",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-07",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WI",
            "license": "048024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYS PLUS PROV #",
            "identifier": "1009390",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43409200",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PROV #",
            "identifier": "P00139653",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL INS PROV #",
            "identifier": "391023846",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEANCARE PROV #",
            "identifier": "551896",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kkurtz10406@direct.monroeclinic.org",
            "affiliation": "Y",
            "affiliationName": "Tomah Memorial Hospital Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "kkurtz10406@direct.monroeclinic.org",
            "address_1": "501 Gopher Dr",
            "city": "Tomah",
            "state": "WI",
            "country_code": "US",
            "postal_code": "546604513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in La Crosse, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.

Verify at the official NPI Registry.