Active NPI
Kent Kosmatka, C.R.N.A.
- Certified Registered Nurse Anesthetist
- Marion, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 26167
- Practice address
- 3333 W Deyoung St
Marion, IL 62959-5884 - Phone
- (660) 826-5960
- Fax
- (660) 826-4852
- NPI assigned
- Dec 21, 2005
- Last updated
- Jan 17, 2025
- Sex
- Male
- Sole proprietor
- No
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 | 209000291 | IL | |
| Certified Registered Nurse Anesthetist | 367500000X | 26167 | SC | Primary |
Addresses
Primary practice location
3333 W Deyoung St
Marion, IL 62959-5884
Mailing address
PO Box 503256
Saint Louis, MO 63150-0001
Phone (660) 826-5960
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, SC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Medical Ctr Dr
Hardeeville, SC 29927-3446
Phone (843) 784-8000
955 Ribaut Rd
Beaufort, SC 29902-5441
Phone (800) 228-0249
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26167 | SC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - Anesthesia PC | Current | Accepting new patients | |
| Medstream Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| East Morgan County Hospital | Current | Accepting new patients | |
| Cep America - Anesthesia PC | Current | Accepting new patients | |
| East Morgan County Hospital | Current | Accepting new patients | |
| Low Country Anesthesia, PA | Current | Accepting new patients | |
| Great Plains of Cheyenne Co. Inc | Past | Accepting new patients | |
| Marion Surgery Center LTD | Past | Accepting new patients | |
| Marion Hospital Corporation | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Sterling Regional Medcenter | Past | Accepting new patients | |
| Marion Surgery Center LTD | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Great Plains of Cheyenne Co. Inc | Past | Accepting new patients | |
| Goodland Regional Medical Center | Past | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663
2400 Edison St
Brush, CO 80723
Phone (970) 842-2833
909 E Railroad Ave
Fort Morgan, CO 80701
Phone (970) 542-4700
955 Ribaut Rd
Beaufort, SC 29902
Phone (803) 522-5200
1000 Medical Center Dr
Hardeeville, SC 29927
Phone (843) 784-8138
25 Hospital Ctr
Hilton Head Island, SC 29926
Phone (843) 682-2345
2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570
Organizations & group practices 13
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.
-
- Anesthesiology Physician
- Hilton Head Island, SC
- NPI 1639995830
-
- Anesthesiology Physician
- Beaufort, SC
- NPI 1417928268
-
- Critical Access Hospital
- Brush, CO
- NPI 1699708743
-
- Anesthesiology Physician
- Richardson, TX
- NPI 1649616160
Nurse Anesthetist, Certified Registered, SC
-
- Anesthesiology Physician
- Langhorne, PA
- NPI 1093678229
-
dba Banner Health Clinic Fort Morgan
- Rural Health Clinic/Center
- Fort Morgan, CO
- NPI 1356051510
-
dba Heartland Regional Medical Center
- Anesthesiology Physician
- Marion, IL
- NPI 1356327282
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Marion, IL
- NPI 1306992375
Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- Marion, IL
- NPI 1962468967
-
dba Goodland Family Health Center
- Family Medicine Physician
- Goodland, KS
- NPI 1467594366
-
dba Cheyenne County Health Department
- Public Health or Welfare Agency
- Saint Francis, KS
- NPI 1134150659
-
dba Cheyenne County Hospital
- Critical Access Hospital
- Saint Francis, KS
- NPI 1992736458
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Novant Health Hilton Head Medical Center
- General Acute Care Hospital
- Hilton Head Island, SC
- NPI 1902675101
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737072000000",
"number": "1891771770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 503256",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631500001",
"telephone_number": "660-826-5960",
"fax_number": "660-826-4852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 W DEYOUNG ST",
"city": "MARION",
"state": "IL",
"postal_code": "629595884",
"telephone_number": "660-826-5960",
"fax_number": "660-826-4852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOSMATKA",
"first_name": "KENT",
"credential": "C.R.N.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-21",
"last_updated": "2025-01-17",
"certification_date": "2025-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209000291",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "26167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marion, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; 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.