Active NPI
Kristen K Pembroke, CRNA
- Certified Registered Nurse Anesthetist
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APN13511
- Practice address
- 877 Jefferson Ave
Memphis, TN 38103-2807 - Phone
- (901) 448-5893
- Fax
- (901) 448-5540
- NPI assigned
- Apr 24, 2008
- Last updated
- Feb 10, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 95002287 | CA | |
| Certified Registered Nurse Anesthetist | 367500000X | 901380 | MS | |
| Certified Registered Nurse Anesthetist | 367500000X | APN13511 | TN | Primary |
Addresses
Primary practice location
877 Jefferson Ave
Memphis, TN 38103-2807
Mailing address
877 Jefferson Ave
Attn: Provider Enrollment
Memphis, TN 38103-2807
Phone (901) 545-7302
Other practice location 1
7900 Airways Blvd Ste 101
Southaven, MS 38671-4113
Phone (662) 349-6950
Other practice location 2
8000 Wolf River Blvd Ste 200
Germantown, TN 38138-1755
Phone (901) 747-3630
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1505838 | Medicaid | TN |
Other names 1
- Kristen Kail Gibson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, MS, CA, AR, KS
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2215 Truxtun Ave
Bakersfield, CA 93301-3602
Phone (661) 632-5504
4250 Bethel Rd
Olive Branch, MS 38654-8737
Phone (662) 932-9000
7600 Airways Blvd
Suite F
Southaven, MS 38671-5138
Phone (901) 685-2200
7900 Airways Blvd
Southaven, MS 38671-4113
Phone (662) 349-6950
825 Ridge Lake Blvd
Memphis, TN 38120-9411
Phone (901) 685-2200
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.75 of 100
- Quality
- 83.24
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13511 | TN | MD | Licensed Practical Nurse |
| 95002287 | CA | MD | Certified Registered Nurse Anesthetist |
| APN13511 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Regional One Physicians Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Premier Anesthesia of Washington, PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Gastroenterology Center of the Midsouth PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Medical Anesthesia Group, PA | Current | Accepting new patients | |
| Excelle Anesthesia Services, Inc. | Current | Accepting new patients | |
| G I Diagnostic and Therapeutic Center LLC | Current | Accepting new patients | |
| Phillip R. Bowden, M.D.,P.a. | Current | Accepting new patients | |
| Premier Anesthesia of Arkansas Professional Corporation | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Health 360 PLLC | Past | Accepting new patients |
Locations
3215 N Northhills Blvd
Fayetteville, AR 72703
Phone (479) 463-1000
2215 Truxtun Ave
Bakersfield, CA 93301
Phone (661) 477-9283
2655 Northwinds Pkwy
Alpharetta, GA 30009
Phone (678) 690-7804
400 S Santa Fe Ave
Salina, KS 67401
Phone (785) 452-6019
4250 Bethel Rd
Olive Branch, MS 38654
Phone (662) 932-9000
7580 Clarington Cv
Southaven, MS 38671
Phone (901) 259-1600
7668 Airways Blvd
Bldg 2
Southaven, MS 38671
Phone (901) 766-9490
7900 Airways Blvd
Bldg B100
Southaven, MS 38671
Phone (662) 349-2442
589 Garfield St
Ste 201
Tupelo, MS 38801
Phone (662) 680-5565
Gastro Onegovt Arhcl
New York, NY 10087
1310 Wolf Park Dr
Germantown, TN 38138
Phone (901) 624-5151
1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362
1325 Eastmoreland Ave
Ste 410
Memphis, TN 38104
Phone (901) 261-6650
1363 S Germantown Rd
Memphis, TN 38138
Phone (901) 516-6000
1717 Kirby Pkwy
Memphis, TN 38120
Phone (901) 272-7200
255 S Pauline St
Memphis, TN 38104
Phone (901) 261-2804
6060 E Primacy Pkwy
Ste 241
Memphis, TN 38119
Phone (901) 725-5846
8000 Wolf River Blvd
Ste 200
Memphis, TN 38138
Phone (901) 684-5503
877 Jefferson Ave
Memphis, TN 38103
Phone (901) 448-5893
930 Madison Ave
Ste 200
Memphis, TN 38103
Phone (901) 448-6650
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Associates In Gastroenterology
- Gastroenterology Physician
- Germantown, TN
- NPI 1417932492
MS, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Bakersfield, CA
- NPI 1689317208
-
- Gastroenterology Physician
- Memphis, TN
- NPI 1932216389
-
- Surgery Physician
- Memphis, TN
- NPI 1093130585
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Fayetteville, AR
- NPI 1932519485
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Salina, KS
- NPI 1194617043
Nurse Anesthetist, Certified Registered
-
- Endoscopy Clinic/Center
- Germantown, TN
- NPI 1760467732
-
- Family Medicine Physician
- Memphis, TN
- NPI 1962273375
Hospital & facility affiliations 1
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": "1208995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770681600000",
"number": "1770758450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "877 JEFFERSON AVE",
"address_2": "ATTN: PROVIDER ENROLLMENT",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381032807",
"telephone_number": "901-545-7302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "877 JEFFERSON AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381032807",
"telephone_number": "901-448-5893",
"fax_number": "901-448-5540"
}
],
"practiceLocations": [
{
"address_1": "7900 Airways Blvd Ste 101",
"address_purpose": "LOCATION",
"city": "Southaven",
"state": "MS",
"postal_code": "386714113",
"country_code": "US",
"telephone_number": "662-349-6950",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8000 Wolf River Blvd Ste 200",
"address_purpose": "LOCATION",
"city": "Germantown",
"state": "TN",
"postal_code": "381381755",
"country_code": "US",
"telephone_number": "901-747-3630",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEMBROKE",
"first_name": "KRISTEN",
"middle_name": "K",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-24",
"last_updated": "2026-02-10",
"certification_date": "2026-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "95002287",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MS",
"license": "901380",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "APN13511",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1505838",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTEN",
"last_name": "GIBSON",
"middle_name": "KAIL",
"credential": "CRNA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.