Kimberly McDorman, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

55020 Issued in KS

Practice address

8080 E Central Ave
Suite 250
Wichita, KS 67206-2368

Phone

(316) 686-7327

Fax

(316) 858-1556

NPI assigned

Jan 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

40.05 of 100Reported as group

Quality

47.12

Improvement activities

0

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

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.

• Kansas Anesthesia Services LLC

  • Pain Medicine (Anesthesiology) Physician
  • Wichita, KS
  • NPI 1609856855
  NPD (past)

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

{
    "created_epoch": "1137801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237852800000",
    "number": "1780664938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8080 E CENTRAL AVE",
            "address_2": "SUITE 250",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062368",
            "telephone_number": "316-686-7327",
            "fax_number": "316-858-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 E CENTRAL AVE",
            "address_2": "SUITE 250",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062368",
            "telephone_number": "316-686-7327",
            "fax_number": "316-858-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDORMAN",
        "first_name": "KIMBERLY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-21",
        "last_updated": "2009-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "55020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "145029",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100405810C",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00153681",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Summer McDonald, O.T.
• Terence McDonald, M.D.
• Teresa D McDonald, LSCSW
• Linda Frances McDonnaugh, MD PHD
• William David McDonough, MD
• Madeline McDowell, LMSW
• Isabella McElheny
• Patrick G McEnulty, MD
• Geraldine McFadden
• Lara McFadden

• Certified Registered Nurse Anesthetist in Wichita, KS
• Providers in Wichita, KS by specialty
• Certified Registered Nurse Anesthetist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2009; 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.