Kelly Gilkerson, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

0992635 Issued in CO

Practice address

1338 Phay Ave
Canon City, CO 81212-2302

Phone

(719) 285-2861

Fax

(719) 285-2101

NPI assigned

Jan 19, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

RB Anesthesia LLCGroup PAC ID 9436563145, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension Via Christi Hospital Manhattan, Inc Hospital, Manhattan, KS, CCN 170142

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• RB Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Colorado Springs, CO
  • NPI 1972108306

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• US Anesthesia Partners of Colorado Inc.

  • Anesthesiology Physician
  • Greenwood Village, CO
  • NPI 1922365782
  Medicare reassignment
• Cny Fertility PLLC

  • Certified Registered Nurse Anesthetist
  • Williamsville, NY
  • NPI 1700565777

  Nurse Anesthetist, Certified Registered

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ascension Via Christi Hospital Manhattan, Inc.

  • General Acute Care Hospital
  • Manhattan, KS
  • NPI 1760482517
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477353600000",
    "number": "1942571179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1338 PHAY AVE",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812122302",
            "telephone_number": "719-285-2861",
            "fax_number": "719-285-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1338 PHAY AVE",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812122302",
            "telephone_number": "719-285-2861",
            "fax_number": "719-285-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILKERSON",
        "first_name": "KELLY",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-19",
        "last_updated": "2016-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CO",
            "license": "0992635",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CO",
            "license": "RN-166869",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genoa Healthcare LLC
• Janice Gentile, BA
• Lynn Marie Giammo, DDS
• Lesley Gilbert
• Carol A Giles, BA
• Pamela Lu Gillen, ND,RN,CNS
• Wonda Jean Glasser, C.N.A.
• Glorious Works Neurotherapy
• William Shaun Gogarty, M.D.
• Britt Taylene Gomer, MS CCC-SLP

• Certified Registered Nurse Anesthetist in Canon City, CO
• Providers in Canon City, CO by specialty
• Certified Registered Nurse Anesthetist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; 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.