Kevin Hardesty, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Tell City, IN
NPI 1891762233 · NPPES record last updated Mar 11, 2019
Key facts
- NPI
- 1891762233
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 1085059 (KY)
- Practice address
- 1 Hospital Rd
Tell City, IN 47586-2750 - Phone
- (812) 547-7011
- NPI assigned
- Mar 3, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 17
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2000
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Pain Management Centers of America, PSC
Shadeland Anesthesia and Pain Associates Inc
Practice addresses (Care Compare)
2201 Green Valley Rd
New Albany, IN 47150-4647
Phone (812) 949-1223
8805 N Meridian St
Suite 200
Indianapolis, IN 46260-2643
Phone 3177067246309
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KY, IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040716000021 | KY | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 0042299729 | Reassigns benefits to 3 organizations |
| I20040727001578 | IN | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 0042299729 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1085059 | KY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Environ Anesthesia, LLC. | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Deaconess Union County Hospital, Inc | Current |
Accepting new patients | |
| Anesthesia Care Associates, LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Deaconess Union County Hospital, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Trigg County Hospital, Inc | Current |
Accepting new patients | |
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Apollo Medical Group LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Deaconess Clinic Inc | Current |
Accepting new patients | |
| Shadeland Anesthesia & Pain Associates Inc. | Current |
Accepting new patients | |
| Shadeland Anesthesia & Pain Associates Inc. | Current |
Accepting new patients | |
| Pain Management Centers of America, PSC | Current |
Accepting new patients | |
| Trigg County Hospital, Inc | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Digestive Care of Evansville, PC | Past | Accepting new patients | |
| Digestive Care of Evansville PC | Past | Accepting new patients | |
| Sleepers Anesthesia Services, PLLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
29943 Network Pl
Chicago, IL 60673
801 Saint Marys Dr
Ste 205
Evansville, IN 47714
Phone (812) 477-6103
1101 Professional Blvd
Ste 100
Evansville, IN 47714
Phone (812) 573-1207
801 Saint Marys Dr
Ste 205W
Evansville, IN 47714
Phone (812) 477-6103
1101 Professional Blvd
Ste 104
Evansville, IN 47714
Phone (502) 523-1295
4411 Washington Ave
Ste 100
Evansville, IN 47714
Phone (313) 637-9861
8805 N Meridian St
Ste 200
Indianapolis, IN 46260
Phone (317) 571-5000
647 2nd St
Ste A
Jasper, IN 47546
Phone (812) 477-6103
3738 Landmark Dr
Ste A
Lafayette, IN 47905
Phone (765) 807-2780
2201 Green Valley Rd
New Albany, IN 47150
Phone (812) 949-1223
3800 Venetian Way
Ste 100
Newburgh, IN 47630
Phone (812) 266-2903
1276 N Plaza Dr
Rockport, IN 47635
Phone (812) 649-2500
53830 Generations Dr
South Bend, IN 46635
Phone (574) 217-0174
254 Main St
Cadiz, KY 42211
Phone (270) 522-3215
236 W Main St
Ste 200
Danville, KY 40422
Phone (859) 238-7746
6400 Dutchmans Pkwy
Ste 60
Louisville, KY 40205
Phone (502) 791-8700
1284 US Highway 60 W
Morganfield, KY 42437
Phone (270) 389-2323
4604 US Highway 60 W
Morganfield, KY 42437
Phone (270) 389-5000
67 Lakeview Dr
Paducah, KY 42001
Phone (270) 554-8373
75 Hail Knob Rd
Somerset, KY 42503
Phone (606) 678-9617
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 1085059 | KY | Yes |
Addresses
Primary practice location
1 Hospital Rd
Tell City, IN 47586-2750
Mailing address
4604 US Highway 60 W
Morganfield, KY 42437-6515
Phone (270) 389-5000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 74002924 | Medicaid | KY | |
| 200295840B | Medicaid | IN | |
| 430070581 | Other | KY | RAILROAD MEDICARE PIN |
| 000000215856 | Other | KY | ANTHEM BCBS PIN |
| 200120690C | Medicaid | IN |
Other providers in Tell City, IN
- Jared L Gladish
- Lena M Goffinet
- Good Samaritan Hospital
- Adrienne Klyne Gore
- James H Gruber
- Myra E Harris
- Alexa Elizabeth Hawhee
- Samara Heflin
- Meredith Kay Hendershot
- Wesley Andrew Henderson
All providers in Tell City, IN · Certified Registered Nurse Anesthetist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.