Individual provider Active NPI

Kevin Brian Hollifield, CRNA

  • Certified Registered Nurse Anesthetist
  • Asheville, NC
National Provider Identifier
1972586469
Registry record updated Jun 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
104951 Issued in NC
Practice address
76 Peachtree Road
Suite 300
Asheville, NC 28803-3505
Phone
(828) 274-3477
Fax
(828) 274-7407
NPI assigned
Nov 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2014

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 104951 NC Primary

Addresses

Primary practice location

76 Peachtree Road
Suite 300
Asheville, NC 28803-3505

Mailing address

76 Peachtree Road
Suite 300
Asheville, NC 28803-3505
Phone (828) 274-3477

Other identifiers 3

IdentifierTypeStateIssuer
AN0793MedicaidSC
1821002767OtherSCGROUP NPI
GP2991MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, WV, HI3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20070329000325 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 0446206437 Reassigns benefits to 3 organizations
I20150421000280 WV Practitioner - Certified Registered Nurse Anesthetist (Crna) 0446206437 Reassigns benefits to 1 organization
I20151021001711 HI Practitioner - Certified Registered Nurse Anesthetist (Crna) 0446206437 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mission Health Community Multispecialty Providers LLCGroup PAC ID 9537468574, 601 clinicians

Practice addresses (Care Compare)

125 Hospital Dr
Spruce Pine, NC 28777-3035
Phone (828) 213-2325

189 Hospital Dr
Spruce Pine, NC 28777-3035
Phone (828) 213-1740

509 Biltmore Ave
Asheville, NC 28801-4601
Phone (828) 213-2325

Hospital & facility affiliations

  • Blue Ridge Regional Hospital Hospital, Spruce Pine, NC, CCN 341329

Merit-based Incentive Payment System (MIPS)

Final score
90.39 of 100Reported as apm
Quality
77.7
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2105NCMDProfessional Counselor
104951NCMDCertified Registered Nurse Anesthetist
90749WVMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Health Community Multispecialty Providers, LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 3, 2024 Accepting new patients
CHS Anesthesia Services Group Inc CurrentSince Sep 1, 2022 Accepting new patients
Mission Community Anesthesiology Specialists LLC CurrentSince Jun 3, 2024 Accepting new patients
Medstream Anesthesia Hawaii, LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2015 Accepting new patients
Spartanburg Hospital for Restorative Care Past Accepting new patients

Locations

67-1125 Mamalahoa Hwy
Kamuela, HI 96743
Phone (808) 881-4400

34 Granby St
Asheville, NC 28801
Phone (828) 225-0861

76 Peachtree Rd
Ste 300
Asheville, NC 28803
Phone (828) 254-1969

509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

125 Hospital Dr
Spruce Pine, NC 28777
Phone (828) 765-4201

Organizations & group practices 6

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.

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": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401667200000",
    "number": "1972586469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 PEACHTREE ROAD",
            "address_2": "SUITE 300",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288033505",
            "telephone_number": "828-274-3477",
            "fax_number": "828-274-7407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 PEACHTREE ROAD",
            "address_2": "SUITE 300",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288033505",
            "telephone_number": "828-274-3477",
            "fax_number": "828-274-7407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIFIELD",
        "first_name": "KEVIN",
        "middle_name": "BRIAN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2014-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "104951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AN0793",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1821002767",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2991",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.

Verify at the official NPI Registry.