Active NPI
Benjamin Ryan Kershner, CRNA
- Certified Registered Nurse Anesthetist
- Norfolk, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 24168886
- Practice address
- 600 Gresham Dr
Norfolk, VA 23507-1904 - Phone
- (757) 473-0055
- Fax
- (757) 473-0075
- NPI assigned
- Feb 28, 2010
- 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 | 180705 | NC | |
| Certified Registered Nurse Anesthetist | 367500000X | 24168886 | VA | Primary |
Addresses
Primary practice location
600 Gresham Dr
Norfolk, VA 23507-1904
Mailing address
134 Business Park Dr
Virginia Beach, VA 23462-6523
Phone (757) 437-0044
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, NC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4800 S Croatan Hwy
Nags Head, NC 27959-9704
Phone (252) 449-4518
Hospital & facility affiliations
- The Outer Banks Hospital, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180705 | NC | MD | Certified Registered Nurse Anesthetist |
| 24168886 | VA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albemarle Physician Services- Sentara, Inc. | Current | Accepting new patients | |
| East Carolina Health - Chowan Inc | Current | Accepting new patients | |
| The Outer Banks Hospital Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Duplin General Hospital, Incorporated | Current | Accepting new patients | |
| Duplin General Hospital, Incorporated | Current | Accepting new patients | |
| East Carolina Health - Heritage Inc | Current | Accepting new patients | |
| Sarmc Anesthesia Specialist LLC | Current | Accepting new patients | |
| East Carolina Health - Heritage Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Albemarle Physician Services - Sentara, Inc | Current | Accepting new patients | |
| Albemarle Physician Services - Sentara, Inc | Current | Accepting new patients | |
| East Carolina Health - Chowan Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| SMG Anesthesia Specialists LLC | Current | Accepting new patients |
Locations
211 Virginia Rd
Edenton, NC 27932
Phone (252) 384-2590
905 Thunder Rd
Ste 210
Elizabeth City, NC 27909
Phone (252) 334-0460
1144 N Road St
Elizabeth Cty, NC 27909
Phone (252) 384-4610
401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941
5200 N Croatan Hwy
Kitty Hawk, NC 27949
Phone (252) 261-4187
4800 S Croatan Hwy
Nags Head, NC 27959
Phone (252) 449-4500
4810 S Croatan Hwy
Ste 110
Nags Head, NC 27959
Phone (252) 441-2444
111 Hospital Dr
Tarboro, NC 27886
Phone (252) 641-7700
600 Gresham Dr
Norfolk, VA 23507
Phone (757) 473-0055
1975 Glenn Mitchell Dr
Virginia Beach, VA 23456
Phone (757) 481-2313
2025 Glenn Mitchell Dr
Virginia Beach, VA 23456
Phone (757) 507-1000
Organizations & group practices 12
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.
-
- Family Medicine Physician
- Nags Head, NC
- NPI 1801874102
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Virginia Beach, VA
- NPI 1518205004
-
- Specialist
- Kenansville, NC
- NPI 1942478383
-
- Certified Registered Nurse Anesthetist
- Edenton, NC
- NPI 1700864980
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Tarboro, NC
- NPI 1194703884
Nurse Anesthetist, Certified Registered
-
- Critical Care Medicine (Anesthesiology) Physician
- Elizabeth City, NC
- NPI 1295194397
-
- Urgent Care Clinic/Center
- Kitty Hawk, NC
- NPI 1306202627
-
- Critical Care Medicine (Anesthesiology) Physician
- Elizabeth City, NC
- NPI 1851660260
-
- Licensed Practical Nurse
- Kenansville, NC
- NPI 1497986509
-
- Critical Access Hospital
- Edenton, NC
- NPI 1467430710
-
- Rural Health Clinic/Center
- Pinetops, NC
- NPI 1821076589
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Nags Head, NC
- NPI 1053375253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325376000000",
"number": "1942522248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 BUSINESS PARK DR",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234626523",
"telephone_number": "757-437-0044",
"fax_number": "757-473-0330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 GRESHAM DR",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235071904",
"telephone_number": "757-473-0055",
"fax_number": "757-473-0075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERSHNER",
"first_name": "BENJAMIN",
"middle_name": "RYAN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-28",
"last_updated": "2012-01-01",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "180705",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "24168886",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2012; 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.