Active NPI
Kimberly Lynn Sipe, CRNA
- Certified Registered Nurse Anesthetist
- Peoria, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209006409
- Practice address
- 8600 State Route 91 Ste 250
Peoria, IL 61615-7831 - Phone
- (309) 692-5393
- Fax
- (309) 692-2538
- NPI assigned
- Feb 1, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 209006409 | IL | Primary |
Addresses
Primary practice location
8600 State Route 91 Ste 250
Peoria, IL 61615-7831
Mailing address
8600 State Route 91 Ste 250
Peoria, IL 61615-7831
Phone (309) 692-5393
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
636 Del Prado Blvd
Cape Coral, FL 33990-2695
Phone (239) 424-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| US Anesthesia Partners of Florida Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Associated Anesthesiologists, SC | Current | Accepting new patients | |
| FMFL Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Madison Avenue Anesthesia Placement Services | Past | Accepting new patients | |
| American Anesthesiology Associates of Illinois, S.C. | Past | Accepting new patients |
Locations
636 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 332-5344
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
6820 International Center Blvd
Fort Myers, FL 33912
Phone (239) 210-0301
851 Trafalgar Ct
Ste 200E
Maitland, FL 32751
Phone (321) 422-7155
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333
6742 N Frostwood Pkwy
Peoria, IL 61615
Phone (309) 692-5393
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Maitland, FL
- NPI 1518910520
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Peoria, IL
- NPI 1023612082
-
- Certified Registered Nurse Anesthetist
- Fort Myers, FL
- NPI 1871127134
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Mokena, IL
- NPI 1962512335
-
- Anesthesiology Physician
- Kankakee, IL
- NPI 1053473041
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Myers, FL
- NPI 1427806025
-
- General Acute Care Hospital
- Cape Coral, FL
- NPI 1780429076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409011200000",
"number": "1902943319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8600 STATE ROUTE 91 STE 250",
"city": "PEORIA",
"state": "IL",
"postal_code": "616157831",
"telephone_number": "309-692-5393",
"fax_number": "309-692-2538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8600 STATE ROUTE 91 STE 250",
"city": "PEORIA",
"state": "IL",
"postal_code": "616157831",
"telephone_number": "309-692-5393",
"fax_number": "309-692-2538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIPE",
"first_name": "KIMBERLY",
"middle_name": "LYNN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-01",
"last_updated": "2014-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209006409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; 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.