Individual provider Active NPI

Kevin Ray Hamilton, CRNA

  • Certified Registered Nurse Anesthetist
  • Caribou, ME
National Provider Identifier
1922078773
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3842A Issued in KY
Practice address
163 Van Buren Rd Ste 1
Caribou, ME 04736-3588
Phone
(386) 878-3090
NPI assigned
Jan 25, 2006
Last updated
Jul 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 3842A KY Primary

Addresses

Primary practice location

163 Van Buren Rd Ste 1
Caribou, ME 04736-3588

Mailing address

1400 E 2ND St
Defiance, OH 43512-2440
Phone (419) 783-3000

Other practice location 1

1400 E 2nd St
Defiance, OH 43512-2440
Phone (419) 783-3000

Other practice location 2

59 Page Hill Rd
Berlin, NH 03570-3542
Phone (419) 956-2050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IN, ME, IA, NH, MI6 enrollments

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20070216000386 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 4284532011 Reassigns benefits to 7 organizations
I20180220002867 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 4284532011 Reassigns benefits to 3 organizations
Practice locations: Kokomo, IN; Fort Wayne, IN
I20180621000998 ME Practitioner - Certified Registered Nurse Anesthetist (Crna) 4284532011 Reassigns benefits to 2 organizations
I20190720000064 IA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4284532011 Reassigns benefits to 1 organization
I20210216002251 NH Practitioner - Certified Registered Nurse Anesthetist (Crna) 4284532011 Reassigns benefits to 1 organization
I20210609000522 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 4284532011 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Clinical Colleagues IncGroup PAC ID 8729011333, 170 clinicians
Henry County Hospital IncGroup PAC ID 0345141644, 42 clinicians
Monaco Management LLCGroup PAC ID 9739577461, 37 clinicians
Iceland Anesthesia Management LLCGroup PAC ID 7618372996, 75 clinicians

Practice addresses (Care Compare)

1400 W Main St
Anesthesiology Department
Bellevue, OH 44811-9088
Phone (419) 483-4040

1600 E Riverview Ave
Napoleon, OH 43545-9805
Phone (419) 592-4015

3663 N Country Dr
Alliance Surgery Ctr
Traverse City, MI 49684-4587
Phone (231) 252-1228

401 N Sawyer Rd
Kendallville, IN 46755-2568
Phone (260) 347-8140

416 E Maumee St
Angola, IN 46703-2015
Phone (260) 665-2141

441 N Wabash Ave
Marion, IN 46952-2612
Phone (765) 660-6000

701 S Health Pkwy
Three Rivers Health Hospital
Three Rivers, MI 49093-8352
Phone (269) 278-1145

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Firelands Anesthesia Associates, Inc Nurse Anesthetist, Certified Registered CurrentSince Sep 15, 2019 Accepting new patients
Iceland Anesthesia Management, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 15, 2021 Accepting new patients
Henry County Hospital Inc CurrentSince Dec 21, 2015 Accepting new patients
Cameron Memorial Community Hospital, Inc Current Accepting new patients
Monaco Management, LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 10, 2025 Accepting new patients
Northern Maine Medical Center CurrentSince May 7, 2018 Accepting new patients
Amsurg Toledo Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 5, 2022 Accepting new patients
Clinical Colleagues LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 24, 2022 Accepting new patients
City of Caribou CurrentSince Apr 15, 2023 Accepting new patients
Cameron Memorial Community Hospital, Inc. CurrentSince Aug 30, 2024 Accepting new patients
Northern Maine Medical Center CurrentSince May 7, 2018 Accepting new patients
Cameron Memorial Community Hospital Inc CurrentSince Aug 30, 2024 Accepting new patients
Hospital Care Group, P.C. Past Accepting new patients
Fauster Cameron Inc. Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

306 E Maumee St
Angola, IN 46703
Phone (260) 667-5335

416 E Maumee St
Angola, IN 46703
Phone (260) 665-2141

801 S Main St
Clinton, IN 47842
Phone (765) 832-1212

2001 Stults Rd
Huntington, IN 46750
Phone (219) 355-3000

401 N Sawyer Rd
Kendallville, IN 46755
Phone (260) 347-1100

441 N Wabash Ave
Marion, IN 46952
Phone (219) 482-4577

1421 N 7th St
Terre Haute, IN 47807
Phone (812) 231-4604

163 Van Buren Rd
Ste 1
Caribou, ME 04736
Phone (207) 498-1227

194 E Main St
Fort Kent, ME 04743
Phone (207) 834-3101

300 E Warwick Dr
Alma, MI 48801
Phone (989) 463-0104

701 S Health Parkway
Three Rivers, MI 49093
Phone (269) 273-9691

3663 N Country Dr
Traverse City, MI 49684
Phone (231) 252-1228

1400 W Main St
Bellevue, OH 44811
Phone (330) 563-0641

1600 E Riverview Ave
Ste 108
Napoleon, OH 43545

1600 E Riverview Ave
Napoleon, OH 43545
Phone (260) 344-3045

4841 Monroe St
Ste 111
Toledo, OH 43623
Phone (419) 474-3949

1250 S Washington St
Van Wert, OH 45891
Phone (419) 232-2077

1100 Neal Zick Rd
Willard, OH 44890
Phone (419) 964-5000

Interoperability endpoints

  • Direct secure messaging: khamilton590287@direct.parkviewexchange.com

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 3

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": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1922078773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E 2ND ST",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435122440",
            "telephone_number": "419-783-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 VAN BUREN RD STE 1",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "047363588",
            "telephone_number": "386-878-3090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 E 2nd St",
            "address_purpose": "LOCATION",
            "city": "Defiance",
            "state": "OH",
            "postal_code": "435122440",
            "country_code": "US",
            "telephone_number": "419-783-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "59 Page Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Berlin",
            "state": "NH",
            "postal_code": "035703542",
            "country_code": "US",
            "telephone_number": "419-956-2050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "KEVIN",
        "middle_name": "RAY",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "3842A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caribou, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; 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.